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NPI Code Detail

MEDICARE: MALCOLM C LOCHIEL M.D.

MEDICARE: MALCOLM C LOCHIEL M.D.
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
1207Q00000XFamily Medicine PhysicianL1924TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952357592
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALCOLM C LOCHIEL M.D.
Provider Business Mailing Address
First Line : 1407 E STONE ST
Second Line :
City : BRENHAM
State : TX
Zip : 77833-5048
Country : US
Telephone Number : 979-203-9023
Fax Number :
Provider Business Practice Location Address
First Line : 4001 HIGHWAY 36 S
Second Line :
City : BRENHAM
State : TX
Zip : 77833-9610
Country : US
Telephone Number : 979-277-1587
Fax Number : 979-277-1360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 12/10/2020

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