Individual
LEWIS R. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 HOPKINS ST, GARLAND HEALTH CENTER, GARLAND, TX 75040-7379
(214) 266-0700
(214) 266-0656
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J5377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139131001
—
TX
05
—
139131002
—
TX
05
—
139131004
—
TX
05
—
139131005
—
TX
05
—
139131006
—
TX
05
—
139131007
—
TX
05
—
139131008
—
TX
05
—
139131009
—
TX
05
—
139131010
—
TX
05
—
139131012
—
TX
05
—
139131013
—
TX
05
—
139131014
—
TX
05
—
139131016
—
TX
01
—
89G964
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/30/2005
Last updated
12/06/2012
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