Individual
DR. CHAD E LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1617 4TH AVE, CANYON, TX 79015-3824
(806) 452-7221
(806) 452-7231
Mailing address
2200 4TH AVE # 207, CANYON, TX 79015-4030
(806) 452-7221
(806) 452-7231
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
49193
TN
208600000X
Surgery Physician
M0150
TX
208600000X
Surgery Physician
MD203738
LA
208C00000X
Colon & Rectal Surgery Physician
49193
TN
208C00000X
Colon & Rectal Surgery Physician
Primary
M0150
TX
208C00000X
Colon & Rectal Surgery Physician
MD203738
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1969552
—
TX
05
—
2119893
—
LA
Enumeration date
03/20/2006
Last updated
10/06/2020
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