| Lomah-smith Llc | |
|
2333 Clover Ct Heath TX 75126-1688 | |
| (214) 558-2975 | |
| Not Available |
| Full Name | Lomah-smith Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2333 Clover Ct, Heath, Texas |
| Authorized Official Name and Position | Joel Lynn Smith (OWNER) |
| Authorized Official Contact | 2145582975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lomah-smith Llc 2333 Clover Ct Heath TX 75126-1688 Ph: (214) 558-2975 | Lomah-smith Llc 2333 Clover Ct Heath TX 75126-1688 Ph: (214) 558-2975 |
| NPI Number | 1598440547 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 2860921327 |
|---|---|
| Medicare Enrollment ID | O20250128004843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598440547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Joel Lynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790397487 PECOS PAC ID: 3779921135 Enrollment ID: I20240403004061 |
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