NPI | 1063894855 |
---|---|
Doing Business As | LOCKHART FAMILY PRACTICE CENTER |
Entity Type | Organization |
Authorized Contact | RAFAEL DE LA PAZ CEO 830-672-6511 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-06-29 |
Last Update Date | 2025-05-05 |