DR. MIKE L LOCKLEAR M.D. NPI 1598713174

NPI Information

NPI: 1598713174
Provider Name: DR. MIKE L LOCKLEAR, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
101 LAFFERTY AVE
CAMERON, TX
ZIP 76520
Phone: (254) 605-1100
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DR. Mike L Locklear, M.D. is a general practice in Cameron, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Mike L Locklear, M.D. NPI is 1598713174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 LAFFERTY AVE
CAMERON, TX
ZIP 76520-551
Phone: (254) 605-1100
Fax: (254) 605-1120

The enumeration date for this NPI number is 5/5/2006 and was last updated on 8/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		F1755	TEXAS	No
2	208D00000X	General Practice		F1755	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	118000100	OTHER	TEXAS	FIRSTCARE
2	080141754	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	RAILROAD MEDICARE
3	130308303	MEDICAID	TEXAS
4	121567	OTHER	TEXAS	CHIPS
5	092049802	MEDICAID	TEXAS
6	751839268001	OTHER	TEXAS	TRICARE/CHAMPUS
7	092049801	MEDICAID	TEXAS
8	B24438	MEDICARE UPIN	TEXAS
9	93842	OTHER	TEXAS	SCOTT & WHITE HEALTH PLAN
10	4513443	OTHER	TEXAS	AETNA
11	00TG83	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE PART B

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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