# CHARLES DERON LEWIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reliable Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073504437
- **Authorized official:** MR. CHARLES DERON LEWIS (OWNER/PROPRIETOR)
- **Authorized official phone:** (903) 694-2285

## Contact information

- **Practice address:** 310 N ADAMS STREET, CARTHAGE, TX 75633
- **Practice address phone:** (903) 694-2285
- **Practice address fax:** (903) 694-9658
- **Mailing address:** PO BOX 187, CARTHAGE, TX 75633
- **Mailing address phone:** (903) 694-2285
- **Mailing address fax:** (903) 694-9658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2005
- **Last updated:** 05/11/2012