Individual
MATTHEW M LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT. ATC
Contact information
Practice address
8420 ANASTASIA AVE, BEAUMONT, TX 77705-9423
(409) 794-1272
Mailing address
8420 ANASTASIA AVE, BEAUMONT, TX 77705-9423
(409) 794-1272
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TX1374
TX
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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