Organization Active NPI

Richard C. Lock, M.D., P.a.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1508839036
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RICHARD C. LOCK, M.D., P.A.
Practice address
12121 Richmond Ave., Suite 413
Houston, TX 77082
Phone
(281) 752-8745
Fax
(281) 752-8746
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Julie Wong
Title
Claim Manager
Phone
(281) 752-8745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12121 Richmond Ave., Suite 413
Houston, TX 77082

Mailing address

PO Box 1920
Sugar Land, TX 77487-1920

Other identifiers 2

IdentifierTypeStateIssuer
1552879MedicaidTX
0083HLOtherTXBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100519000197 TX Part B Supplier - Clinic/Group Practice 9234268988 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

12121 Richmond Ave
Ste 413
Houston, TX 77082
Phone (281) 491-0561

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGEECA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508839036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1920",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774871920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE., SUITE 413",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77082",
            "telephone_number": "281-752-8745",
            "fax_number": "281-752-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. LOCK, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CLAIM MANAGER",
        "authorized_official_telephone_number": "281-752-8745"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1552879",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0083HL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.