Harold D Lewis DO PA
Family Medicine in Austin, TX. Organization (NPI-2).
NPI number1003005232
StatusActive
Last updated in NPPESJul 15, 2008
Details
- NPI
- 1003005232
- Entity type
- Organization (NPI-2)
- Legal business name
- Harold D Lewis DO PA
- Organization subpart
- Yes
- Enumeration date
- Oct 24, 2007
- Last updated
- Jul 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | E6126 | TX | Yes |
| 261Q00000X | Clinic/Center | E6126 | TX |
Practice location
1901 West William Cannon DriveSuite 123
Austin, TX 78745
Phone 512-444-2661 · Fax 512-444-2720
Mailing address
1901 West William Cannon DriveSuite 123
Austin, TX 78745
Phone 512-444-2661 · Fax 512-444-2720
Authorized official
Harold Davis Lewis
Sole Practitioner Owner
5124442661
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