# ADJETEY K LOMO PA INC

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

## Provider details

- **NPI number:** 1649431875
- **Authorized official:** ADJETEY K LOMO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (713) 921-1200

## Contact information

- **Practice address:** 601 WAYSIDE DR STE B, HOUSTON, TX 77011-3614
- **Practice address phone:** (713) 921-1200
- **Practice address fax:** (713) 921-1201
- **Mailing address:** 601 WAYSIDE DR STE B, HOUSTON, TX 77011-3614
- **Mailing address phone:** (713) 921-1200
- **Mailing address fax:** (713) 921-1201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | J7056 | TX | Yes |

## Other

- **Enumeration date:** 06/20/2008
- **Last updated:** 12/01/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 323066601 | — | TX |
| 05 | — | 323066602 | — | TX |