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Individual

MR. WILLIAM SAMUEL LEWIS

Active
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Individual

MR. WILLIAM SAMUEL LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1030534
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087649202
—
TX
05
—
087649203
—
TX
01
—
160878100
FIRSTCARE
TX
01
—
8T1286
BLUE CROSS BLUE SHIELD
TX
01
—
P00126628
MEDICARE RAILROAD
TX
Enumeration date
06/13/2005
Last updated
11/15/2012
About Stedi
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