Healthcare Provider Details

I. General information

NPI: 1205270618
Provider Name (Legal Business Name): CAREY LOCKHART MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAREY TAUTE MD

II. Dates (important events)

Enumeration Date: 04/29/2013
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7940 SHOAL CREEK BLVD STE 100
AUSTIN TX
78757-7589
US

IV. Provider business mailing address

7940 SHOAL CREEK BLVD STE 100
AUSTIN TX
78757-7589
US

V. Phone/Fax

Practice location:
  • Phone: 512-494-4000
  • Fax:
Mailing address:
  • Phone: 512-494-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberMD60361911
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number35.098870
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberW2312
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberMD60361911
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License Number35.098870
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: