Organization
COURTYARD PRIMARY CARE & MEDICAL SPA,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN BRADY LOCKE MD (CEO/OWNER)
(432) 699-2370
Entity
Organization
Contact information
Practice address
4410 N MIDKIFF RD STE D6, MIDLAND, TX 79705-4249
(432) 689-6000
(432) 689-6003
Mailing address
4410 N MIDKIFF RD STE D6, MIDLAND, TX 79705-4249
(432) 689-6000
(432) 689-6003
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K5608
TX
Other
Enumeration date
09/23/2008
Last updated
10/09/2012
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