MEDICARE: CHAYLAH J LOMOTEY M.D.

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	207Q00000X	Family Medicine Physician	N3150	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851520431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAYLAH J LOMOTEY M.D.

Provider Business Mailing Address
First Line	:	618 COMAL AVE STE 1B
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-7668
Country	:	US
Telephone Number	:	830-521-4822
Fax Number	:	830-255-5768

Provider Business Practice Location Address
First Line	:	618 COMAL AVE STE 1B
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-7668
Country	:	US
Telephone Number	:	850-521-4822
Fax Number	:	830-255-5768

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

Provider Enumeration Date	:	07/05/2009
Last Update Date	:	01/05/2025

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