MEDICARE: PAULA LEWIS DO, PLLC

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

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

General Provider Information

NPI Number	:	1558541656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAULA LEWIS DO, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 560993
Second Line	:
City	:	THE COLONY
State	:	TX
Zip	:	75056-0993
Country	:	US
Telephone Number	:	972-668-7460
Fax Number	:

Provider Business Practice Location Address
First Line	:	7992 W VIRGINIA DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-3764
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	:	11/06/2007
Last Update Date	:	09/16/2008

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