JAY LOCKE MD PA; NPI #1396856092

Contact Information

JAY LOCKE MD PA

2224 S 77 SUNSHINE STRIP
SUITE 96 BOX 193
HARLINGEN, TX 78550-8305

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 JAY LOCKE MD PA

NPI Number 1396856092

LBN Legal business name JAY LOCKE MD PA

Authorized official JAY LOCKE - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/31/2006

Last updated 11/08/2014 - About 12 years ago

Identifiers

OH	License #	35085207
OH	Medicaid	2250942
	Other	000000353030	ANTHEM
	Other	201572741027	CARESOURCE
	Other	201572741	MEDICAL MUTUAL
	Other	P00201720	RR MEDICARE
	Other	201572741	TRICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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