Provider Demographics
NPI:1558476242
Name:ZAYNE, LOCKE MAGUIRE
Entity type:Individual
Prefix:DR
First Name:LOCKE
Middle Name:MAGUIRE
Last Name:ZAYNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W 7TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-6428
Mailing Address - Country:US
Mailing Address - Phone:903-872-9122
Mailing Address - Fax:903-872-9071
Practice Address - Street 1:105 W 7TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-6428
Practice Address - Country:US
Practice Address - Phone:903-872-9122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10278111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1558476242OtherCHIROPRACTOR