Individual
JONATHAN D LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6621 FANNIN ST, OFFICE OF HOUSE STAFF EDUCATION, HOUSTON, TX 77030-2303
(832) 824-1170
Mailing address
6621 FANNIN ST, OFFICE OF HOUSE STAFF EDUCATION, HOUSTON, TX 77030-2303
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10034310
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
Q5215
TX
Other
Enumeration date
03/20/2012
Last updated
08/13/2024
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