Individual
DR. CHARLES E LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 HILL COUNTRY DR, KERRVILLE, TX 78028-5904
(830) 896-4523
Mailing address
711 HILL COUNTRY DR, KERRVILLE, TX 78028-5904
(830) 896-4523
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E4481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348260-01
—
TX
01
—
826203432
RAILROAD MEDICARE
TX
Enumeration date
06/14/2006
Last updated
10/15/2009
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