LYON HEALTHCARE SERVICES LLC NPI 1124614839

NPI Information

  • NPI: 1124614839
  • Provider Name: LYON HEALTHCARE SERVICES LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 45D2246704
  • Address: 525 N SAM HOUSTON PKWY E STE 245
    HOUSTON, TX
    ZIP 77060
  • Phone: (832) 616-0698

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NPI Details

LYON HEALTHCARE SERVICES LLC is a primary care nurse practitioner in Houston, TX. LYON HEALTHCARE SERVICES LLC NPI is 1124614839. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

525 N SAM HOUSTON PKWY E STE 245
HOUSTON, TX
ZIP 77060-016
Phone: (832) 616-0698
Fax: (713) 513-5737

The provider's authorized official is Kamilah J Payne .
The authorized official title is Owner and has the following contact phone number (346) 442-6856.

The CLIA number assigned to this NPI record is 45D2246704 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2020 and was last updated on 3/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WW0000XRegistered NurseWound CareNo
2207Q00000XFamily MedicineNo
3363LF0000XNurse PractitionerFamilyNo
4363LP2300XNurse PractitionerPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11417503624MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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