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Individual

SALVATORE J LOCOCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-2340
(806) 743-1775
Mailing address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-2340
(806) 743-1775

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
036123856
IL
207VX0201X
Gynecologic Oncology Physician
H5786
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139534502
TX
01
8B5593
BCBS
TX
01
P00261072
RAILROAD MEDICARE
TX
Enumeration date
07/30/2006
Last updated
09/26/2024
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