Provider Demographics
NPI:1730921792
Name:LEMON-AID MEDICAL MANAGEMENT
Entity type:Organization
Organization Name:LEMON-AID MEDICAL MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMATTIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-384-8455
Mailing Address - Street 1:425 HOLDERRIETH BLVD STE 114
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-5189
Mailing Address - Country:US
Mailing Address - Phone:281-475-7599
Mailing Address - Fax:833-973-3832
Practice Address - Street 1:425 HOLDERRIETH BLVD STE 114
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-5189
Practice Address - Country:US
Practice Address - Phone:281-475-7599
Practice Address - Fax:833-973-3832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty