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NPI 1417749573

NPI 1417749573 : LINDA LEWIS, NP WELLNESS CENTER PLLC : THREE RIVERS, TX

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General NPI Number Information
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    NPI Number           |    1417749573
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    Entity Type          |    Organization 
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    Legal Business Name  |    LINDA LEWIS, NP WELLNESS CENTER PLLC 
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Dates
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    Enumeration Date     |    05/22/2025
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    Last Update Date     |    11/12/2025
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Provider Practice Location Address
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    Address Line         |    107 W ALEXANDER STREET 
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    City                 |    THREE RIVERS
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    State                |    TX
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    Zip                  |    78071
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    Country              |    US
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    Telephone            |    830-261-2376
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    Fax                  |    866-231-6487
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Provider Business Mailing Address
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    Address Line         |    107 W ALEXANDER STREET 
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    City                 |    THREE RIVERS
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    State                |    TX
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    Zip                  |    78071
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    Country              |    US
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    Telephone            |    830-261-2376
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    Fax                  |    866-231-6487
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Authorized Official
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    Title or Position    |    CEO & PRESIDENT
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    Name                 |     LINDA  LEWIS 
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    Credential           |    FNP-C, PMHNP-BC
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    Telephone            |    830-261-2376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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