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NPI Code Detail

MEDICARE: LEWIS AND ASSOCIATES, DDS, PC

MEDICARE: LEWIS AND ASSOCIATES, DDS, PC
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
1122300000XDentist9517TX

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 : 1679596787
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEWIS AND ASSOCIATES, DDS, PC
Provider Business Mailing Address
First Line : 2500 CENTRAL PKWY
Second Line : SUITE P
City : HOUSTON
State : TX
Zip : 77092-7733
Country : US
Telephone Number : 713-681-7920
Fax Number : 713-263-0132
Provider Business Practice Location Address
First Line : 310 W 19TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-3906
Country : US
Telephone Number : 713-861-6250
Fax Number : 713-869-6414
Authorized Official
Title or Position : PRESIDENT
Name : DR. DAVID D. LEWIS
Credential : DDS
Telephone Number : 713-681-7920
Provider Enumeration Date : 07/26/2006
Last Update Date : 08/07/2009

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