Organization
CARLOCK ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR CARLOCK FNP (FNP/OWNER)
(318) 419-5188
Entity
Organization
Contact information
Practice address
2778 HWY 121, SUITE A, OTIS, LA 71466-0000
(318) 793-5020
(318) 759-0828
Mailing address
2778 HWY 121, SUITE A, OTIS, LA 71466-0000
(318) 793-5020
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
05/19/2016
Last updated
07/28/2025
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