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Individual

DEJUAN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED, ATC, LAT

Contact information

Practice address
900 THOMPSON ST., AUSTIN, TX 78702
(314) 761-1310
Mailing address
900 THOMPSON ST., AUSTIN, TX 78702
(314) 761-1310

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000033700
TX

Other

Enumeration date
07/20/2018
Last updated
04/28/2026
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