Individual
DEBORAH NICKS LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 W GRAY ST # 130252, HOUSTON, TX 77019-4816
(832) 614-9375
Mailing address
1919 PORTSMOUTH ST APT 21, HOUSTON, TX 77098-4236
(842) 614-9375
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B00000X
—
TX
Enumeration date
02/20/2024
Last updated
02/20/2024
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