Individual
MR. JOHN RICHARD LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
15211 PARK ROW APT 527, HOUSTON, TX 77084-4142
(409) 861-1708
(409) 861-1923
Mailing address
PO BOX 20074, BEAUMONT, TX 77720-0074
(409) 861-1708
(409) 861-1923
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
26309
TX
171M00000X
Case Manager/Care Coordinator
26309
TX
251B00000X
Case Management Agency
Primary
26309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066052403
—
TX
Enumeration date
02/12/2007
Last updated
08/19/2008
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