Healthcare Provider Details

I. General information

NPI: 1174965073
Provider Name (Legal Business Name): LEWIS FAMILY MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 02/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13830 SAWYER RANCH RD STE 102
DRIPPING SPRINGS TX
78620-5513
US

IV. Provider business mailing address

13830 SAWYER RANCH RD STE 102
DRIPPING SPRINGS TX
78620-5513
US

V. Phone/Fax

Practice location:
  • Phone: 512-301-6400
  • Fax: 512-301-6401
Mailing address:
  • Phone: 512-301-6400
  • Fax: 512-301-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KEVIN W LEWIS
Title or Position: OWNER
Credential: DO
Phone: 512-301-6400