Individual
COURTNEY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3003 WEBSTER ST, HOUSTON, TX 77004-1746
(314) 475-4697
Mailing address
1500 HADLEY ST UNIT 394, HOUSTON, TX 77001-4214
(314) 475-4697
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853914589
—
TX
Enumeration date
01/22/2021
Last updated
01/22/2021
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