Individual
MR. KEITH RYAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
121363
LA
367500000X
Certified Registered Nurse Anesthetist
848029
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP124956
TX
Other
Enumeration date
11/11/2013
Last updated
06/23/2021
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