Organization
LEWIS 360 MEDICAL SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIA KAY LEWIS CRNA (OWNER/PRESIDENT)
(817) 927-8900
Entity
Organization
Contact information
Practice address
2120 MISTLETOE BLVD UNIT 2, FORT WORTH, TX 76110-1174
(817) 927-8900
(817) 927-8902
Mailing address
2120 MISTLETOE BLVD UNIT 2, FORT WORTH, TX 76110-1174
(817) 927-8900
(817) 927-8902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
532304
TX
207L00000X
Anesthesiology Physician
Primary
40272
TX
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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