Organization
CHARLES E LEWIS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E LEWIS M.D. (PRESIDENT)
(830) 896-4523
Entity
Organization
Contact information
Practice address
711 HILL COUNTRY DR, KERRVILLE, TX 78028-5904
(830) 896-4523
(830) 896-9454
Mailing address
711 HILL COUNTRY DR, KERRVILLE, TX 78028-5904
(830) 896-4523
(830) 896-9454
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E4481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00MA11
BCBS
TX
01
—
E4481
LICENSE
TX
Enumeration date
06/05/2007
Last updated
07/27/2007
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