MEDICARE: CHRISTOPHER R LOCKHART MD, PA

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	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00134R	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205869518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER R LOCKHART MD, PA

Provider Business Mailing Address
First Line	:	8307 KNIGHT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-3905
Country	:	US
Telephone Number	:	713-242-7707
Fax Number	:	713-242-7752

Provider Business Practice Location Address
First Line	:	8307 KNIGHT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-3905
Country	:	US
Telephone Number	:	713-242-7707
Fax Number	:	713-242-7752

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHRISTOPHER ROBERT LOCKHART
Credential	:	M.D.
Telephone Number	:	713-242-7707

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	12/11/2009

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