| Organization Name: | JOHN EDWARD LOCKYER |
| NPI Number: | 1184824138 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN EDWARD LOCKYER (PHYSICIAN/ OWNER) |
| Mailing Address: | 505 Sw 1st St Mineral Wells |
| State: | TX US |
| Postal Code: | 760675207 |
| Phone Number: | 9403250778 |
| Fax Number: | 9403281092 |
| NPI Enumeration Date: | 07/18/2007 |
| NPI Last Update Date: | 05/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 1088P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |