Individual
KEVIN DWAYNE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13714 KELLERTON LN, CYPRESS, TX 77429-2390
(281) 825-1562
Mailing address
13714 KELLERTON LN, CYPRESS, TX 77429-2390
(281) 825-1562
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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