Individual
BEVERLY AXE-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9559
(806) 351-3765
Mailing address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9559
(806) 351-3765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K3360
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044677501
—
TX
05
—
100142500 A
—
OK
05
—
Z7756
—
NM
Enumeration date
07/06/2006
Last updated
03/06/2023
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