Individual
THORNELL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17762 PRESTON RD STE 114, DALLAS, TX 75252-5730
(972) 846-0448
Mailing address
17762 PRESTON RD STE 114, DALLAS, TX 75252-5730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP140738
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP140738
TX
Other
Enumeration date
08/09/2019
Last updated
01/21/2022
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