Individual
DAEIJA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3417 GASTON AVE STE 1100, DALLAS, TX 75246-2037
(469) 800-9000
(469) 800-9160
Mailing address
3417 GASTON AVE STE 1100, DALLAS, TX 75246-2037
(469) 800-9000
(469) 800-9160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP10078555
TX
Other
Enumeration date
04/08/2022
Last updated
01/15/2026
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