Provider Demographics
NPI:1669940607
Name:LOCKHART, CINDY D (LM, CPM)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:D
Last Name:LOCKHART
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6127 FOREST WOOD ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3248
Mailing Address - Country:US
Mailing Address - Phone:512-618-3720
Mailing Address - Fax:
Practice Address - Street 1:6127 FOREST WOOD ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3248
Practice Address - Country:US
Practice Address - Phone:512-618-3720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99205176B00000X, 175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175M00000XOther Service ProvidersMidwife, LayGroup - Single Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Single Specialty