Provider Demographics
NPI:1619077096
Name:LOCKHART FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:LOCKHART FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARTON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ROMANEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-376-5247
Mailing Address - Street 1:1009 W. SAN ANTONIO ST.
Mailing Address - Street 2:
Mailing Address - City:LOCKHART
Mailing Address - State:TX
Mailing Address - Zip Code:78644
Mailing Address - Country:US
Mailing Address - Phone:512-376-5247
Mailing Address - Fax:512-376-6252
Practice Address - Street 1:1009 W. SAN ANTONIO ST.
Practice Address - Street 2:
Practice Address - City:LOCKHART
Practice Address - State:TX
Practice Address - Zip Code:78644
Practice Address - Country:US
Practice Address - Phone:512-376-5247
Practice Address - Fax:512-376-6252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1226207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184084501Medicaid
TX0094NXOtherBCBS OF TEXAS GROUP #
TX00X242Medicare PIN