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 |
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Provider Enumeration Date | 06/19/2023 |
Last Update Date | 02/22/2024 |
Certification Date | 02/22/2024 |
Medicare PECOS PAC ID | 2860921327 |
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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 |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790397487 PECOS PAC ID: 3779921135 Enrollment ID: I20240403004061 |
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