Individual
LEWIS LEONARD WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
114157
MO
2085R0202X
Diagnostic Radiology Physician
Primary
E1171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132345305
—
TX
05
—
132345309
—
TX
05
—
132345310
—
TX
05
—
132345311
—
TX
05
—
132345312
—
TX
01
—
1770541559
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/02/2006
Last updated
04/22/2026
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