Organization
WEATHERFORD PODIATRY CLINICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYMON EDWARD LEWIS DPM (PHYSICIAN)
(817) 341-3901
Entity
Organization
Contact information
Practice address
925 SANTA FE DR, SUITE 110, WEATHERFORD, TX 76086-5866
(817) 341-3901
(817) 599-7018
Mailing address
PO BOX 1926, WEATHERFORD, TX 76086-7926
(817) 341-3901
(817) 599-7018
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018603301
—
TX
01
—
1124205158
BCBS
TX
Enumeration date
01/22/2008
Last updated
01/20/2009
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