Individual
MARCUS ISAAC LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5933 VIA ROBLES LN, EL PASO, TX 79912-6615
(915) 861-3100
Mailing address
1325 WASHINGTON ST, ANTHONY, NM 88021-8846
(575) 882-6101
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
1104661
TX
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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