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Individual

HOLLY LOCKHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
597147
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
597147
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00Z020
CERT PRAC GROUP MCB #
05
159561304
TX
Enumeration date
06/26/2006
Last updated
05/06/2025
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