Organization
LYON HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMILAH J PAYNE FNP-C (OWNER)
(346) 442-6856
Entity
Organization
Contact information
Practice address
16510 NORTHCHASE DR STE 254, HOUSTON, TX 77060-3302
(346) 442-6856
(281) 595-9823
Mailing address
15318 ABOYNE LN, HUMBLE, TX 77346-4611
(346) 442-6856
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417503624
—
TX
Enumeration date
12/16/2020
Last updated
07/25/2025
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