Basic Information
| Provider Information | |||||||||
| NPI: | 1972577468 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOCHNER | ||||||||
| FirstName: | DENISE | ||||||||
| MiddleName: | MAXINE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7121 S PADRE ISLAND DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784124938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3619936000 | ||||||||
| FaxNumber: | 3619933676 | ||||||||
| Practice Location | |||||||||
| Address1: | 7121 S PADRE ISLAND DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784124940 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3619936000 | ||||||||
| FaxNumber: | 3619933676 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2006 | ||||||||
| LastUpdateDate: | 02/27/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VX0000X | N6914 | TX | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Obstetrics |
ID Information
| ID | Type | State | Issuer | Description | 217081301 | 05 | TX | MEDICAID |