Individual
JOHN MANCE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6417 MEMORIAL DR, TEXAS CITY, TX 77591-4017
(409) 938-1077
(409) 938-3876
Mailing address
6417 MEMORIAL DR, TEXAS CITY, TX 77591-4017
(409) 938-1077
(409) 938-3876
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E4482
TX
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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