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Individual
DR. RYAN C LEWIS
Active
Individual
DR. RYAN C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
N0923
TX
207Q00000X
Family Medicine Physician
Primary
N0923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528259173
TRICARE SOUTH
TX
05
—
195643515
—
TX
01
—
8EG805
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
P00816303
RAILROAD
TX
Enumeration date
08/08/2007
Last updated
11/16/2015
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