Organization Active NPI

Charles E. Laurence MD

  • Family Medicine Physician
  • Lockhart, TX
National Provider Identifier
1497958680
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G1943 Issued in TX
Legal business name
CHARLES E. LAURENCE MD
Practice address
1301 S Medina St
Lockhart, TX 78644-3856
Phone
(512) 398-3464
Fax
(512) 398-6843
NPI assigned
Jun 6, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cheryl Laurence
Title
Office Manager
Phone
(512) 398-3464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G1943 TX Primary

Addresses

Primary practice location

1301 S Medina St
Lockhart, TX 78644-3856

Mailing address

1301 S Medina St
Lockhart, TX 78644-3856
Phone (512) 398-3464

National Provider Directory

National Provider Directory

Locations

1301 S Medina St
Lockhart, TX 78644
Phone (512) 353-6400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1497958680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S MEDINA ST",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786443856",
            "telephone_number": "512-398-3464",
            "fax_number": "512-398-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S MEDINA ST",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786443856",
            "telephone_number": "512-398-3464",
            "fax_number": "512-398-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E. LAURENCE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LAURENCE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-398-3464",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G1943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockhart, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.