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Individual

ROBERT B LEWIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H0565
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050065899
RAIL ROAD
TX
05
127814502
TX
05
127814506
TX
01
127814507
MEDICAID CSHCN
TX
01
127814508
MEDICAID CSHCN
TX
05
127814509
TX
05
137545314
TX
01
83759K
BCBS
TX
01
8EH536
BCBS TX
TX
Enumeration date
12/22/2005
Last updated
07/01/2020
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