Basic Information
Provider Information
NPI: 1003269531
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOMAS
FirstName: ANDREW
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12941 NORTH FWY
Address2: SUITE 401
City: HOUSTON
State: TX
PostalCode: 770601240
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 12941 NORTH FWY
Address2: SUITE 401
City: HOUSTON
State: TX
PostalCode: 770601240
CountryCode: US
TelephoneNumber: 8322531188
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/20/2016
LastUpdateDate: 07/20/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2355S0801X39229TXY Speech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant

No ID Information.


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