Individual
GARY GEORGE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(513) 703-1394
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(513) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
823333
TX
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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