# CORPUS CHRISTI REJUVENATION & AESTHETICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013560929
- **Authorized official:** DR. JEFFREY W LEWIS DC (OWNER)
- **Authorized official phone:** (361) 442-2073

## Contact information

- **Practice address:** 2033 AIRLINE RD STE H1, CORPUS CHRISTI, TX 78412-4694
- **Practice address phone:** (361) 442-2073
- **Practice address fax:** (361) 853-1403
- **Mailing address:** 2033 AIRLINE RD STE H1, CORPUS CHRISTI, TX 78412-4694
- **Mailing address phone:** (361) 442-2073
- **Mailing address fax:** (361) 853-1403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/19/2019
- **Last updated:** 07/19/2019