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Organization
ADJETEY K LOMO PA INC
Active
Organization
ADJETEY K LOMO PA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADJETEY K LOMO MD (MEDICAL DIRECTOR)
(713) 921-1200
Entity
Organization
Contact information
Practice address
601 WAYSIDE DR STE B, HOUSTON, TX 77011-3614
(713) 921-1200
(713) 921-1201
Mailing address
601 WAYSIDE DR STE B, HOUSTON, TX 77011-3614
(713) 921-1200
(713) 921-1201
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
J7056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323066601
—
TX
05
—
323066602
—
TX
Enumeration date
06/20/2008
Last updated
12/01/2014
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