Individual
DR. WAYMON EDWARD LEWIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
224 SANTA FE DR, SUITE 300, WEATHERFORD, TX 76086-6574
(817) 341-3901
(817) 599-7018
Mailing address
PO BOX 1926, WEATHERFORD, TX 76086-7926
(817) 341-3901
(817) 599-7018
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018603301
—
TX
01
—
10032164
AMERIGROUP PROVIDER NUMBE
TX
01
—
2374431
AETNA HMO PROVIDER NUMBER
TX
01
—
8A3610
BCBS PROVIDER NUMBER
TX
Enumeration date
06/23/2006
Last updated
07/17/2013
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