Individual
EDWARD S LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11623 ANGUS RD, STE 15, AUSTIN, TX 78759-4041
(512) 346-7170
(512) 345-2699
Mailing address
11623 ANGUS RD STE 15, AUSTIN, TX 78759-4041
(512) 346-7170
(512) 345-2699
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
F3210
TX
Other
Enumeration date
11/16/2005
Last updated
08/12/2008
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