MEDICARE: STANLEY T LEWIS 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
1	207R00000X	Internal Medicine Physician	K2739	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1952392144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STANLEY T LEWIS M.D.

Provider Business Mailing Address
First Line	:	6800 WEST LOOP S
Second Line	:	SUITE 560
City	:	BELLAIRE
State	:	TX
Zip	:	77401-4528
Country	:	US
Telephone Number	:	713-778-1300
Fax Number	:	713-778-0827

Provider Business Practice Location Address
First Line	:	6800 WEST LOOP S
Second Line	:	SUITE 560
City	:	BELLAIRE
State	:	TX
Zip	:	77401-4528
Country	:	US
Telephone Number	:	713-778-1300
Fax Number	:	713-778-0827

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	02/11/2009

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Directions to “ STANLEY T LEWIS M.D.” Practice Location

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