Individual
DR. ADOLPHUS RAY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4732 E LANCASTER AVE STE A, FORT WORTH, TX 76103-3836
(817) 534-1010
(817) 413-0300
Mailing address
4732 E LANCASTER AVE STE A, FORT WORTH, TX 76103-3836
(817) 534-1010
(817) 413-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H2532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215196-07
—
TX
01
—
8CG231
BLUE CROSS BLUE SHIELD
TX
01
—
P00864759
PALMETTO GBA RAILROAD MEDICARE
TX
Enumeration date
01/27/2006
Last updated
09/23/2016
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