Provider Demographics
NPI:1265163372
Name:ALMA F PAYUMO DMD PLLC
Entity type:Organization
Organization Name:ALMA F PAYUMO DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:FERNANDEZ
Authorized Official - Last Name:PAYUMO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:267-495-9038
Mailing Address - Street 1:12727 KIMBERLEY LN STE 203
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4050
Mailing Address - Country:US
Mailing Address - Phone:713-464-1544
Mailing Address - Fax:713-464-1530
Practice Address - Street 1:12727 KIMBERLEY LN STE 203
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4050
Practice Address - Country:US
Practice Address - Phone:713-464-1544
Practice Address - Fax:713-464-1530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty