Individual
BRANDON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
(254) 288-8000
Mailing address
25 WATERS EDGE CIR APT 637, GEORGETOWN, TX 78626-5567
(623) 208-3928
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86342965
WA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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