MEDICARE: PAULA R LEWIS DO

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
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	H3794	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

General Provider Information

NPI Number	:	1841226750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA R LEWIS DO

Provider Business Mailing Address
First Line	:	1201 STARLIGHT CT
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-4552
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	09/16/2008

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Directions to “ PAULA R LEWIS DO” Practice Location

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