| Doctor Name: | MR. ANTHONY WAYNE LOCKABY |
| NPI Number: | 1467490334 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, PA-C |
| License Number: | PA01828 |
| Business Practice Address: | 763 E Us Highway 80 Ste 100 Forney, TX - 751268675 |
| Business Phone Number: | 9725640711 |
| Business Fax Number: | 9725640323 |
| Mailing Address: | 763 E Us Highway 80 Ste 100, FORNEY |
| State: | TX |
| Postal Code: | 751268675 |
| Phone Number: | 9725640711 |
| Fax Number: | 9725640323 |
| NPI Enumeration Date: | 06/03/2006 |
| NPI Last Update Date: | 11/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA01828 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |