Individual
MR. GARY LYNN LEWIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9215 WHITE ROCK TRL, DALLAS, TX 75238-2593
(214) 221-4100
Mailing address
5451 INDEPENDENCE PKWY APT 2907, PLANO, TX 75023-5441
(903) 805-4333
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2127103
TX
Other
Enumeration date
12/20/2017
Last updated
03/17/2018
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