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Individual

PERRY CARTER LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 E MARSHALL AVE, STE. 200, LONGVIEW, TX 75601-5573
(903) 236-2222
Mailing address
701 E MARSHALL AVE, STE. 200, LONGVIEW, TX 75601-5573
(903) 236-2222

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H8210
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126500107
TX
Enumeration date
06/20/2006
Last updated
02/11/2011
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