MEDICARE: LEWIS 360 MEDICAL SOLUTIONS PLLC

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	163W00000X	Registered Nurse	532304	TX
2	207L00000X	Anesthesiology Physician	40272	TX

General Provider Information

NPI Number	:	1932509635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEWIS 360 MEDICAL SOLUTIONS PLLC

Provider Business Mailing Address
First Line	:	2120 MISTLETOE BLVD UNIT 2
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-1174
Country	:	US
Telephone Number	:	817-927-8900
Fax Number	:	817-927-8902

Provider Business Practice Location Address
First Line	:	2120 MISTLETOE BLVD UNIT 2
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-1174
Country	:	US
Telephone Number	:	817-927-8900
Fax Number	:	817-927-8902

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	ANTONIA KAY LEWIS
Credential	:	CRNA
Telephone Number	:	817-927-8900

Provider Enumeration Date	:	08/29/2014
Last Update Date	:	08/29/2014

Similar Medicare Providers

1336160209 — INTEGRATED MEDICAL PROFESSIONALS 1, LTD
Practice Location Address:

2120 MISTLETOE BLVD UNIT 2
FORT WORTH, TX
76110-1174

Practice Phone: 817-927-8900
Practice Fax: 817-927-8902

1962770404 — ALLIANCE ANESTHESIOLOGY ASSOCIATES, LP
Practice Location Address:

2120 MISTLETOE BLVD UNIT 2
FORT WORTH, TX
76110-1174

Practice Phone: 817-810-0600
Practice Fax: 817-927-8902

1215387808 — SPECTRUM SUPPORT CENTER, LLC
Practice Location Address:

2120 MISTLETOE BLVD , SUITE 3
FORT WORTH, TX
76110-1174

Practice Phone: 832-385-6095
Practice Fax:

1417011396 — MRS. SHERRY MICHELLE DONAHUE-BROWN
Practice Location Address:

1174 COUNTRY CLUB LN
FORT WORTH, TX
76112-2303

Practice Phone: 817-451-5213
Practice Fax: 817-451-5689

1528556826 — MS. SAMANTHA GRAHAM MT-BC
Practice Location Address:

3320 RIVEROAD CT APT 814
FORT WORTH, TX
76116-1174

Practice Phone: 281-309-2410
Practice Fax:

1003684481 — DELANEY ORTIZ LPC-A
Practice Location Address:

1660 S UNIVERSITY DR # 1174
FORT WORTH, TX
76107-6524

Practice Phone: 469-665-9956
Practice Fax:

Directions to “LEWIS 360 MEDICAL SOLUTIONS PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.