Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | ME133464 | FL |
Y | 208800000X | Urologist | T0842 | TX |
NPI | 1003263328 |
---|---|
Provider Name | Steven Lomax |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Tyler, TX 75701-1954 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2016 |
Last Update Date | 21/10/2021 |