# RANDY LEW, DPM, PA

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

## Provider details

- **NPI number:** 1770618217
- **Authorized official:** RANDY MICHAEL LEW DPM (PRESIDENT)
- **Authorized official phone:** (817) 615-8110

## Contact information

- **Practice address:** 11807 SOUTH FWY, SUITE 361, BURLESON, TX 76028-7005
- **Practice address phone:** (817) 615-8110
- **Practice address fax:** (817) 615-8099
- **Mailing address:** 11807 SOUTH FWY, SUITE 361, BURLESON, TX 76028-7005
- **Mailing address phone:** (817) 615-8110
- **Mailing address fax:** (817) 615-8099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1495 | TX | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 02/21/2008