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Organization

HAROLD D LEWIS DO PA

Active
Find providers by NPI
Organization

HAROLD D LEWIS DO PA

Active
Parent organization
HAROLD D LEWIS DO PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
HAROLD D LEWIS DO PA
Authorized official
DR. HAROLD DAVIS LEWIS DO (SOLE PRACTITIONER OWNER)
(512) 444-2661
Entity
Organization

Contact information

Practice address
1901 WEST WILLIAM CANNON DRIVE, SUITE 123, AUSTIN, TX 78745
(512) 444-2661
(512) 444-2720
Mailing address
1901 WEST WILLIAM CANNON DRIVE, SUITE 123, AUSTIN, TX 78745
(512) 444-2661
(512) 444-2720

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E6126
TX
261Q00000X
Clinic/Center
E6126
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00BL17
BCBS PIN
TX
05
—
032268701
—
TX
01
—
10016231
AMERIGROUP NUMBER
TX
Enumeration date
10/24/2007
Last updated
07/15/2008
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