# WEATHERFORD PODIATRY CLINICS, P.A.

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

## Provider details

- **NPI number:** 1124205158
- **Authorized official:** DR. WAYMON EDWARD LEWIS DPM (PHYSICIAN)
- **Authorized official phone:** (817) 341-3901

## Contact information

- **Practice address:** 925 SANTA FE DR, SUITE 110, WEATHERFORD, TX 76086-5866
- **Practice address phone:** (817) 341-3901
- **Practice address fax:** (817) 599-7018
- **Mailing address:** PO BOX 1926, WEATHERFORD, TX 76086-7926
- **Mailing address phone:** (817) 341-3901
- **Mailing address fax:** (817) 599-7018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1477 | TX | Yes |

## Other

- **Enumeration date:** 01/22/2008
- **Last updated:** 01/20/2009
