# DR. HARRISON LEWIS III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184972994
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 085007217 | IL | Yes |
| 363AM0700X | Medical Physician Assistant | PA03127 | TX | — |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 09/21/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 342529001 | — | TX |
| 01 | — | 391698YMAF | MEDICARE | TX |