Tiffany Goran Locke, PA-C

NPI #1881842854 in Midland, Texas

Provider Information

NPI Number
1881842854
Entity Type
Individual
Name
Tiffany Goran Locke, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Sep 3, 2008
Last Updated
Oct 9, 2012

Practice Location

Address
4410 N MIDKIFF RD STE D6
State
Texas
ZIP Code
79705-4249
Phone
(432) 689-6000

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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