Victor Carlock (NPI# 1396948402, PAC ID# 9335237478) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396948402 |
| PAC ID by PECOS | 9335237478 |
| Professional Enrollment ID | I20110829000086 |
| Full Name | Victor Carlock |
| Organization Legal Name | CARLOCK ENTERPRISES LLC |
| Address |
1100 Nolan Trce Carlock Family Medical Clinic Leesville LA 71446-3838 |
| Phone Number | 3372385180 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3476707514 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190164 | BYRD REGIONAL HOSPITAL |
| 190019 | CHRISTUS ST FRANCES CABRINI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1100 Nolan Trce, Carlock Family Medical Clinic, Leesville, LA 71446-3838 | 3372385180 | CARLOCK ENTERPRISES LLC |
| 2778 Hwy 121, Suite A, Otis, LA 71466-9717 | 3187935020 | CARLOCK ENTERPRISES LLC |
| Organization Legal Name | CARLOCK ENTERPRISES LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer B Carlock | Nurse Practitioner | Carlock Enterprises LLC | 1100 Nolan Trce, Carlock Family Medical Clinic, Leesville, LA 71446-3838 |
| Street Address |
1100 NOLAN TRCE CARLOCK FAMILY MEDICAL CLINIC |
| City | LEESVILLE |
| State | LA |
| Zip | 71446-3838 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer B Carlock | Nurse Practitioner | Carlock Enterprises LLC | 1100 Nolan Trce, Carlock Family Medical Clinic, Leesville, LA 71446-3838 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Johnson | Chiropractic | 1051 /07 Warner St, Leesville, LA 71446-2821 | |
| Kanchan P. Upadhyay | Hematology/oncology | 1000 N 5th St, Leesville, LA 71446-2901 | |
| Tiffany Lynn Smith | Clinical Social Worker | Central La Human Services District | 105 Belview Rd, Leesville, LA 71446-2902 |
| Cherri Cowan | Optometry | Thomas Vision Clinic, Inc | 1100 N 5th St, Leesville, LA 71446-2910 |
| Clifton M Cowan | Optometry | Thomas Vision Clinic, Inc | 1100 N 5th St, Leesville, LA 71446-2910 |
| Robert K. Lamme | Family Medicine | 900 N 5th St, Outpatient Medical Center Inc, Leesville, LA 71446-3530 | |
| Damian J Delhomme | Obstetrics/gynecology | Byrd Medical Clinic Inc | 927 Verone Ter, Leesville, LA 71446-4255 |
| Arleen M Dee | Clinical Social Worker | 300 S 1st St, Suite 303, Leesville, LA 71446-4372 | |
| Thomas E Dobbins | Internal Medicine | Byrd Medical Clinic Inc | 506 S 6th St, Leesville, LA 71446-4442 |
| John Delapp | Orthopedic Surgery | Orthopedic Center of La LLC | 500 S 6th St, A, Leesville, LA 71446-4442 |
| Find all physicians in zip 71446 | |||
| City | LEESVILLE |
| Zip Code | 71446 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LEESVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.