Basic Information
Provider Information
NPI: 1760057061
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOCKHART
FirstName: REMMIE
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: NP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8703 MEADOWCROFT DR
Address2:  
City: HOUSTON
State: TX
PostalCode: 770635006
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 8703 MEADOWCROFT DR
Address2:  
City: HOUSTON
State: TX
PostalCode: 770635006
CountryCode: US
TelephoneNumber: 7138407956
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/20/2021
LastUpdateDate: 05/20/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/11/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808X1033283TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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