Individual
AUSTIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1500 S UNIVERSITY PARKS DR, WACO, TX 76706-1731
(254) 709-7731
Mailing address
2400 CORPORATION PKWY APT 4207, WOODWAY, TX 76712-6920
(254) 709-7731
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7174
TX
Other
Enumeration date
02/07/2017
Last updated
09/22/2020
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