MEDICARE: LEWIS R. KING MD

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	208000000X	Pediatrics Physician	J5377	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	89G964	OTHER	TX	BLUE CROSS BLUE SHIELD
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053395376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEWIS R. KING MD

Provider Business Mailing Address
First Line	:	PO BOX 660599
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75266-0599
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	802 HOPKINS ST
Second Line	:	GARLAND HEALTH CENTER
City	:	GARLAND
State	:	TX
Zip	:	75040-7379
Country	:	US
Telephone Number	:	214-266-0700
Fax Number	:	214-266-0656

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

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	12/06/2012

Similar Medicare Providers

1396876298 — DALLAS COUNTY HOSPITAL DISTRICT
Practice Location Address:

802 HOPKINS ST
GARLAND, TX
75040-7379

Practice Phone: 214-266-0662
Practice Fax: 214-266-0748

1912990441 — ANNIE C MATHEW PHARM.D., CDE
Practice Location Address:

802 HOPKINS ST
GARLAND, TX
75040-7379

Practice Phone: 214-266-0658
Practice Fax: 214-266-0656

1326032079 — DALLAS COUNTY HOSPITAL DISTRICT
Practice Location Address:

802 HOPKINS ST
GARLAND, TX
75040-7379

Practice Phone: 469-419-1976
Practice Fax: 469-419-6210

1821085432 — DR. HARITHA DONTHINENI M.D.
Practice Location Address:

802 HOPKINS ST
GARLAND, TX
75040-7379

Practice Phone: 214-266-0700
Practice Fax:

1073597464 — DR. DONNA I. PERSAUD MD
Practice Location Address:

802 HOPKINS ST , GARLAND HEALTH CENTER
GARLAND, TX
75040-7379

Practice Phone: 214-266-0700
Practice Fax:

1710961883 — PANKAJ C. PATEL MD
Practice Location Address:

802 HOPKINS ST , GARLAND HEALTH CENTER
GARLAND, TX
75040-7379

Practice Phone: 214-266-0700
Practice Fax: 214-266-0656

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.

MEDICARE: LEWIS R. KING MD

Scope of Practice

Other Identifiers

General Provider Information

Similar Medicare Providers

Directions to “ LEWIS R. KING MD” Practice Location