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Organization
SAMMY LERMA III MD PA
Active
Organization
SAMMY LERMA III MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMY LERMA III MD (OWNER)
(512) 321-3311
Entity
Organization
Contact information
Practice address
1109 CHURCH ST, BASTROP, TX 78602-3206
(512) 321-3311
(512) 321-2611
Mailing address
PO BOX 664, BASTROP, TX 78602-0664
(512) 321-3311
(512) 321-2611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H6375
TX
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
617058
TX
363LF0000X
Family Nurse Practitioner
791283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080698601
—
TX
05
—
080698602
—
TX
05
—
080698603
—
TX
01
—
DB6623
RAILROAD MEDICARE
TX
Enumeration date
12/11/2006
Last updated
09/08/2026
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