Provider Demographics
NPI:1164278693
Name:LOMEDA FAMILY MEDICINE CLINIC
Entity type:Organization
Organization Name:LOMEDA FAMILY MEDICINE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMEDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-855-6737
Mailing Address - Street 1:3129 KINGSLEY DR STE 320
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8506
Mailing Address - Country:US
Mailing Address - Phone:412-855-6737
Mailing Address - Fax:832-346-0257
Practice Address - Street 1:3129 KINGSLEY DR STE 320
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8506
Practice Address - Country:US
Practice Address - Phone:346-590-2120
Practice Address - Fax:832-346-0257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty