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MRS. BEVERLY GUILLORY LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1021 61ST ST, # 210, GALVESTON, TX 77551-0000
(409) 740-2700
Mailing address
1228 LOGAN, STE 200, TEXAS CITY, TX 77590
(409) 945-0810
(409) 945-6678

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F4211
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
085838503
TX
05
115917002
TX
Enumeration date
10/25/2006
Last updated
10/01/2013
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