MEDICARE: DR PAULA LEWIS LLC

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	207L00000X	Anesthesiology Physician	H3794	TX

General Provider Information

NPI Number	:	1346643053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR PAULA LEWIS LLC

Provider Business Mailing Address
First Line	:	7117 BENTLEY AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-3336
Country	:	US
Telephone Number	:	972-668-7460
Fax Number	:	972-474-3423

Provider Business Practice Location Address
First Line	:	7992 W VIRGINIA DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237
Country	:	US
Telephone Number	:	972-668-7460
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAULA LEWIS
Credential	:	DO
Telephone Number	:	972-668-7460

Provider Enumeration Date	:	10/08/2014
Last Update Date	:	06/18/2026

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