Individual
RICHARD M. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4019
(512) 901-3919
Mailing address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4019
(512) 901-3919
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
H1615
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129523006
—
TX
01
—
P00474051
RR MEDICARE
TX
Enumeration date
03/30/2006
Last updated
07/24/2008
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