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NPI Code Detail

MEDICARE: DR. MERRILL SUE LEWEN M.D.

MEDICARE: DR. MERRILL SUE LEWEN 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
1207V00000XObstetrics & Gynecology PhysicianM3298TX

General Provider Information

NPI Number : 1659316198
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MERRILL SUE LEWEN M.D.
Provider Business Mailing Address
First Line : 4600 GULF FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77023-3548
Country : US
Telephone Number : 713-831-6554
Fax Number : 713-535-2554
Provider Business Practice Location Address
First Line : 4600 GULF FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77023-3548
Country : US
Telephone Number : 713-522-3976
Fax Number : 404-494-7435
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 03/02/2017

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