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Dr. Kyle Brent Lewis, MD

Student in an Organized Health Care Education/Training Program in Fort Worth, TX. Individual provider (NPI-1).

NPI number1760177992
StatusActive
Last updated in NPPESApr 5, 2023

Details

NPI
1760177992
Entity type
Individual (NPI-1)
Name
Dr. Kyle Brent Lewis
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 5, 2023
Certification date
Apr 5, 2023
Last updated
Apr 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1500 S Main St
Fort Worth, TX 76104-4917

Phone 817-702-1204

Mailing address

1110 Saint Paul St
Slidell, LA 70460-2343

Phone 985-774-9432

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