Individual
MS. FATIMA YAZMIN LOMELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
909 9TH AVE STE 401, FORT WORTH, TX 76104-3918
(817) 332-0786
Mailing address
941 SHERRY LN, SAGINAW, TX 76179-0979
(682) 365-1806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16782
TX
363A00000X
Physician Assistant
TEMPORARY
TX
Other
Enumeration date
04/04/2023
Last updated
04/28/2023
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