Individual
CLINTON LEWIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 N EMMA DR, ARLINGTON, TX 76002-3500
(501) 247-5580
Mailing address
PO BOX 181462, ARLINGTON, TX 76096-1462
(501) 247-5580
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
HWV4536
TX
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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