JACOB E LOCKE, MD, Radiation Oncology HOUSTON, TX

Contact Information

JACOB E LOCKE, MD

3139 W HOLCOMBE BLVD # 550
HOUSTON, TX 77025

Phone: 937-689-5169
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for JACOB E LOCKE · (Male)

NPI Number	`1750303160`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	07/24/2006
Last updated	11/11/2021 - About 5 years ago
Sole proprietor ¹	No
Identifiers	OH License # 35085207 TX License # N3843 OH Medicaid 2250942 Other 000000353030 ANTHEM Other 201572741027 CARESOURCE Other 201572741 MEDICAL MUTUAL Other P00201720 RR MEDICARE Other 201572741 TRICARE
Hospital affiliation(s)	POPLAR BLUFF REGIONAL MEDICAL CENTER - (Acute Care) 3100 OAK GROVE ROAD POPLAR BLUFF, MO 63901

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

JACOB E LOCKE, MD – NPI #1750303160Radiation Oncology

Contact Information

Specialty

Radiation Oncology

NPI Profile & details for JACOB E LOCKE · (Male)

JACOB E LOCKE, MD – NPI #1750303160
Radiation Oncology