MEDICARE: MEDICAL CENTER FAMILY PRACTICE

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

General Provider Information

NPI Number	:	1821011271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL CENTER FAMILY PRACTICE

Provider Business Mailing Address
First Line	:	8309 KNIGHT RD
Second Line	:	SUITE K
City	:	HOUSTON
State	:	TX
Zip	:	77054-3905
Country	:	US
Telephone Number	:	713-795-4884
Fax Number	:	713-795-0417

Provider Business Practice Location Address
First Line	:	8309 KNIGHT RD
Second Line	:	SUITE K
City	:	HOUSTON
State	:	TX
Zip	:	77054-3905
Country	:	US
Telephone Number	:	713-795-4884
Fax Number	:	713-795-0417

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTOPHER ROBERT LOCKHART
Credential	:	M.D
Telephone Number	:	713-795-4884

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	08/22/2020

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