Individual
RAYSHARD JARRELL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
123 CAVALRY TRL, ELGIN, TX 78621-4199
(409) 466-0190
Mailing address
123 CAVALRY TRL, ELGIN, TX 78621-4199
(409) 466-0190
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
981638
TX
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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