Provider Demographics
NPI:1558334219
Name:LOCK, RICHARD C (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:C
Last Name:LOCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1920
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77487-1920
Mailing Address - Country:US
Mailing Address - Phone:281-752-8745
Mailing Address - Fax:281-752-8746
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:SUITE 413
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:281-752-8745
Practice Address - Fax:281-752-8746
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7052207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0083HLOtherBLUECROSS BLUESHIELD
TX8713B8Medicare ID - Type Unspecified
TXF86365Medicare UPIN