Individual
AUTUMN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
525 OAK CENTRE DR STE 140, SAN ANTONIO, TX 78258-3916
(210) 504-3056
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN1073167
TX
Other
Enumeration date
04/28/2022
Last updated
02/28/2024
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