Healthcare Provider Details

I. General information

NPI: 1083082556
Provider Name (Legal Business Name): LEWIS URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2015
Last Update Date: 11/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13830 SAWYER RANCH RD STE 100
DRIPPING SPRINGS TX
78620-5514
US

IV. Provider business mailing address

13830 SAWYER RANCH RD STE 100
DRIPPING SPRINGS TX
78620-5514
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 Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KEVIN LEWIS
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 512-301-6400