| Lockhart Family Medicine Pllc | |
|
1009 W. San Antonio St. Lockhart TX 78644 | |
| (512) 376-5247 | |
| (512) 376-6252 |
| Full Name | Lockhart Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1009 W. San Antonio St., Lockhart, Texas |
| Authorized Official Name and Position | Barton James Romanek (OWNER) |
| Authorized Official Contact | 5123765247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lockhart Family Medicine Pllc 1009 W. San Antonio St. Lockhart TX 78644 Ph: (512) 376-5247 | Lockhart Family Medicine Pllc 1009 W. San Antonio St. Lockhart TX 78644 Ph: (512) 376-5247 |
| NPI Number | 1619077096 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/05/2015 |
| Medicare PECOS PAC ID | 3577666817 |
|---|---|
| Medicare Enrollment ID | O20070307000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619077096 | NPI | - | NPPES |
| 184084501 | Medicaid | TX | |
| 0094NX | Other | TX | BCBS OF TEXAS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F1226 (Texas) | Primary |
| Provider Name | Kimberly M Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679527147 PECOS PAC ID: 1254366172 Enrollment ID: I20050929000472 |
Lockhart Family Practice Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2060 S Colorado St, Lockhart, TX 78644 Phone: 512-398-9610 | |
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Charles E. Laurence Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 S Medina St, Lockhart, TX 78644 Phone: 512-398-3464 Fax: 512-398-6843 | |
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