Organization
KATHRYN M. LEWIS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MARIE LEWIS M.D. (PRESIDENT)
(936) 568-3541
Entity
Organization
Contact information
Practice address
4920 NE STALLINGS DR, NACOGDOCHES, TX 75965-1254
(936) 568-3541
(936) 568-3390
Mailing address
PO BOX 6325, KINGWOOD, TX 77325-6325
(281) 360-5400
(281) 548-3513
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
H0564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032010301
—
TX
Enumeration date
11/16/2007
Last updated
05/14/2008
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