Individual
JESSICA KOH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
560 MEYERLAND PLAZA MALL, HOUSTON, TX 77096-1615
(713) 442-3222
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G2759
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101157904
—
TX
05
—
101157905
—
TX
Enumeration date
10/05/2006
Last updated
01/09/2017
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