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NPI Code Detail

MEDICARE: DR. JIM LEWIS STORY M.D.

MEDICARE:  DR. JIM LEWIS STORY  M.D.
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
1207T00000XNeurological Surgery PhysicianC9498TX

General Provider Information

NPI Number : 1558686758
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JIM LEWIS STORY M.D.
Provider Business Mailing Address
First Line : 3135 STONEHAVEN DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-4042
Country : US
Telephone Number : 210-344-9082
Fax Number : 210-344-3633
Provider Business Practice Location Address
First Line : 3135 STONEHAVEN DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-4042
Country : US
Telephone Number : 210-344-9082
Fax Number : 210-344-3633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2010
Last Update Date : 03/30/2010

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Directions to “ DR. JIM LEWIS STORY M.D.” Practice Location

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