Individual
DR. JACK EDWARD LEWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, ATTN: MCHE-MDE, FORT SAM HOUSTON, TX 78234-4504
(210) 916-8589
(210) 916-3877
Mailing address
3551 ROGER BROOKE DRIVE -MCHE-MDE, BROOKE ARMY MEDICAL CENTER, FORT SAM HOUSTON, TX 78234-6200
(210) 916-8589
(210) 916-3877
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
K0336
TX
Other
Enumeration date
10/20/2005
Last updated
06/05/2013
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