Individual
MR. MARCIAL GOMEZ LEWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
342 RICHLAND WEST CIR, WACO, TX 76712-7919
(254) 772-6760
(254) 772-1035
Mailing address
342 RICHLAND WEST CIR, WACO, TX 76712-7919
(254) 772-6760
(254) 772-1035
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
E8035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115842003
—
TX
Enumeration date
09/06/2005
Last updated
03/07/2016
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