Individual
DR. CHARLES TURNER LEWIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 W GROVE ST, STE 100, KAUFMAN, TX 75142-1827
(972) 932-1319
(972) 932-1388
Mailing address
1011 W GROVE ST, STE 100, KAUFMAN, TX 75142-1827
(972) 932-1319
(972) 932-1388
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J0770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121232601
—
TX
05
—
121232603
—
TX
01
—
752551507
TAX ID
TX
Enumeration date
06/09/2005
Last updated
05/30/2013
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