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Individual

DR. DOUGLAS E LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1700 S MO PAC EXPY, AUSTIN, TX 78746
(512) 327-7000
(512) 327-5200
Mailing address
5717 BALCONES DR, AUSTIN, TX 78731-4203
(512) 327-7000
(512) 314-1662

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H6378
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10014255
AMERIGROUP
TX
01
117784100
FIRST CARE
05
136907601
TX
05
136907605
TX
01
32951-005
DAVIS VISION
NY
01
3356952
BLUELINK
TX
01
4379838
AETNA
TX
01
80363S
BLUE CROSS BLUE SHIELD
TX
01
915420
BLOCK VISION
TX
01
TX6378
EYEMED
OH
01
VP12836
GE WELLNESS
Enumeration date
12/14/2005
Last updated
01/03/2024
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