Individual
MR. KEN SHELTON LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7940 FLOYD CURL, STE 630, SAN ANTONIO, TX 78229-3905
(210) 614-1112
(210) 614-1113
Mailing address
7940 FLOYD CURL, STE 630, SAN ANTONIO, TX 78229-3905
(210) 614-1112
(210) 614-1113
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01080
TX
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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