# LYON HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124614839
- **Authorized official:** KAMILAH J PAYNE FNP-C (OWNER)
- **Authorized official phone:** (346) 442-6856

## Contact information

- **Practice address:** 16510 NORTHCHASE DR STE 254, HOUSTON, TX 77060-3302
- **Practice address phone:** (346) 442-6856
- **Practice address fax:** (281) 595-9823
- **Mailing address:** 15318 ABOYNE LN, HUMBLE, TX 77346-4611
- **Mailing address phone:** (346) 442-6856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2020
- **Last updated:** 07/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1417503624 | — | TX |