Individual
MICHAEL RAY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2485 S MAJOR DR, BEAUMONT, TX 77707-5019
(409) 861-4611
Mailing address
621 COUNTRY ROAD 263, JASPER, TX 75951
(469) 265-9195
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2143125
TX
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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