Individual
DR. LEWIS PENTECOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 FORMOSA DR, POINT COMFORT, TX 77978
(361) 987-7493
Mailing address
PO BOX 700, POINT COMFORT, TX 77978
(361) 987-7493
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
C5826
TX
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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