Individual
ANTONIA K. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4513 VISTA RIDGE CIR, FORT WORTH, TX 76179-6438
(817) 927-8900
(817) 927-8902
Mailing address
4513 VISTA RIDGE CIR, FORT WORTH, TX 76179-6438
(817) 927-8900
(817) 927-8902
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
532304
TX
367500000X
Certified Registered Nurse Anesthetist
AP102683
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145132002
—
TX
Enumeration date
08/31/2006
Last updated
06/13/2024
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