Provider Demographics
NPI:1295022929
Name:ALMA LEMEZ MD PA
Entity Type:Organization
Organization Name:ALMA LEMEZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-500-4307
Mailing Address - Street 1:661 S MESA HILLS DR
Mailing Address - Street 2:STE 102
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5550
Mailing Address - Country:US
Mailing Address - Phone:800-522-1952
Mailing Address - Fax:575-532-7006
Practice Address - Street 1:4009 N MESA ST
Practice Address - Street 2:STE B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1526
Practice Address - Country:US
Practice Address - Phone:915-500-4307
Practice Address - Fax:915-500-4668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-01
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9450207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX287328301Medicaid
TXTXB136271Medicare Oscar/Certification