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NPI Code Detail

MEDICARE: COURTNEY LEWIS

MEDICARE:   COURTNEY  LEWIS
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
1376K00000XNurse's AideTX

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 : 1548850522
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY LEWIS
Provider Business Mailing Address
First Line : 1500 HADLEY ST UNIT 394
Second Line :
City : HOUSTON
State : TX
Zip : 77001-4214
Country : US
Telephone Number : 314-475-4697
Fax Number :
Provider Business Practice Location Address
First Line : 3003 WEBSTER ST
Second Line :
City : HOUSTON
State : TX
Zip : 77004-1746
Country : US
Telephone Number : 314-475-4697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2021
Last Update Date : 01/22/2021

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Directions to “ COURTNEY LEWIS ” Practice Location

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