Organization
CHARLES DERON LEWIS
Active
Other names
Reliable Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES DERON LEWIS (OWNER/PROPRIETOR)
(903) 694-2285
Entity
Organization
Contact information
Practice address
310 N ADAMS STREET, CARTHAGE, TX 75633
(903) 694-2285
(903) 694-9658
Mailing address
PO BOX 187, CARTHAGE, TX 75633
(903) 694-2285
(903) 694-9658
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010568601
—
TX
05
—
016517701
—
TX
01
—
530941
BCBS
TX
Enumeration date
11/03/2005
Last updated
05/11/2012
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