Provider Demographics
NPI:1578568044
Name:LEMEZ, ALMA (MD)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:
Last Name:LEMEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5823 N MESA ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4607
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
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
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9450207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX204808402Medicaid
TXM9450OtherMEDICAL LICENSE
NM80239072Medicaid
NM80239072Medicaid
TXM9450OtherMEDICAL LICENSE
I23935Medicare UPIN