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Individual

MS. MEOSHA S LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
430 TOWN CREEK DR, DALLAS, TX 75232-1649
(832) 259-4572
Mailing address
430 TOWN CREEK DR, DALLAS, TX 75232-1649
(832) 259-4572

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
06531067
TX
172A00000X
Driver
18615105
TX
172A00000X
Driver
28209046
TX

Other

Enumeration date
08/28/2020
Last updated
08/28/2020
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