MEDICARE: CITY OF LOCKHART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	028006	TX

General Provider Information

NPI Number	:	1083675250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF LOCKHART

Provider Business Mailing Address
First Line	:	214 BUFKIN LANE
Second Line	:
City	:	LOCKHART
State	:	TX
Zip	:	78644
Country	:	US
Telephone Number	:	512-398-7320
Fax Number	:	512-398-3393

Provider Business Practice Location Address
First Line	:	214 BUFKIN LANE
Second Line	:
City	:	LOCKHART
State	:	TX
Zip	:	78644
Country	:	US
Telephone Number	:	512-398-7320
Fax Number	:	512-398-3393

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. CEAN CHARLES
Credential	:
Telephone Number	:	512-398-7320

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	09/27/2023

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Directions to “CITY OF LOCKHART ” Practice Location

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