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NPI Code Detail

MEDICARE: DR. DAVID DANIEL LEWIS DDS

MEDICARE: DR. DAVID DANIEL LEWIS DDS
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
11223G0001XGeneral Practice Dentistry9517TX

Other Identifiers

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

General Provider Information

NPI Number : 1326062787
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID DANIEL LEWIS DDS
Provider Business Mailing Address
First Line : 310 W 19TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-3906
Country : US
Telephone Number : 713-869-4085
Fax Number :
Provider Business Practice Location Address
First Line : 310 W 19TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-3906
Country : US
Telephone Number : 713-869-4085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 12/23/2015

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Directions to “ DR. DAVID DANIEL LEWIS DDS” Practice Location

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