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NPI Code Detail

MEDICARE: LEWIS WESLEY ROBERTS CRT

MEDICARE: LEWIS WESLEY ROBERTS CRT
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
12278H0200XHome Health Certified Respiratory Therapist59530TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
159530OTHERTXRESPIRATORY CARE PRACTITIONER

General Provider Information

NPI Number : 1639305261
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEWIS WESLEY ROBERTS CRT
Provider Business Mailing Address
First Line : 2709 ROPER DR
Second Line :
City : PLANO
State : TX
Zip : 75025-2410
Country : US
Telephone Number : 903-718-0863
Fax Number : 903-532-1401
Provider Business Practice Location Address
First Line : 8001 S US HWY 75
Second Line :
City : SHERMAN
State : TX
Zip : 75090-5707
Country : US
Telephone Number : 903-718-0863
Fax Number : 903-532-1401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2009
Last Update Date : 06/10/2009

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Directions to “ LEWIS WESLEY ROBERTS CRT” Practice Location

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