Organization
EDWARD S LEWIS, MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD S LEWIS MD (OWNER)
(512) 346-7170
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F3210
TX
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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