Provider Demographics
NPI:1811541055
Name:LOMEDA, RYAN ONEIL ALVAREZ (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:RYAN ONEIL
Middle Name:ALVAREZ
Last Name:LOMEDA
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3816 VIENNA ST
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-8461
Mailing Address - Country:US
Mailing Address - Phone:562-325-9969
Mailing Address - Fax:
Practice Address - Street 1:3500 OAK LAWN AVE STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4369
Practice Address - Country:US
Practice Address - Phone:214-520-8833
Practice Address - Fax:214-520-2956
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-25
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142444363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily