Individual
DR. EDWIN BRADY LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 WEST ILLINOS, SUITE 100, MIDLAND, TX 79701
(432) 699-2370
(432) 697-3524
Mailing address
9 HIALEAH DR, MIDLAND, TX 79705-1809
(432) 699-2370
(432) 697-3524
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K5608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128926606
—
TX
Enumeration date
08/11/2006
Last updated
03/26/2014
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