MEDICARE: JEANNETTE KOMYA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TA0700X	Adult Development & Aging Psychologist

General Provider Information

NPI Number	:	1821933623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANNETTE KOMYA

Provider Business Mailing Address
First Line	:	8750 WILLANCY LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-3092
Country	:	US
Telephone Number	:	520-278-1351
Fax Number	:

Provider Business Practice Location Address
First Line	:	8750 WILLANCY LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-3092
Country	:	US
Telephone Number	:	520-278-1351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ JEANNETTE KOMYA ” Practice Location

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