A Ray Lewis Do Pa in Fort Worth - Geriatric Medicine

A Ray Lewis Do Pa - NPI 1578534541

A Ray Lewis Do Pa is a Geriatric Medicine in Fort Worth, Texas. A Ray Lewis Do Pa practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for A Ray Lewis Do Pa is 1578534541. The last update date is 2008-01-31.

A Ray Lewis Do Pa's current location address is 4732 E Lancaster St, Fort Worth, Texas. You can contact this provider via phone number 8175341010 and fax number 8174130300. The mailing address for A Ray Lewis Do Pa is 4732 E Lancaster St, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization A Ray Lewis Do Pa
Address 4732 E Lancaster St, Fort Worth, Texas
Phone Number 8175341010
Fax Number 8174130300
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHYS
Authorized Official Name Lewis Ray Adolphus
Credentials DO
Telephone Number 8175341010

NPI Number Detail

NPI Number 1578534541
Provider Enumeration Date 2006-01-30
Last Updated Date 2008-01-31

Provider Mailing Address Detail

Address 4732 E Lancaster St
City Fort Worth
State Texas (TX)
Post Code 761033836
Phone Number 8175341010
Fax Number 8174130300

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80012814 TX PALMETTO GBA
0064QF TX BLUE CROSS BLUE SHIELD

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FAQs about A Ray Lewis Do Pa

Could you please share the complete physical location address where A Ray Lewis Do Pa's facilities are situated?

The facilities of A Ray Lewis Do Pa are physically located at the following address: 4732 E Lancaster St, Fort Worth, TX, 761033836.

What is A Ray Lewis Do Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The A Ray Lewis Do Pa's area of specialization is Geriatric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qg0300X.

What is A Ray Lewis Do Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for A Ray Lewis Do Pa is Geriatric Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qg0300X.

On what date was the 1578534541 assigned to A Ray Lewis Do Pa?

The A Ray Lewis Do Pa was issued its 1578534541 on 2006-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the A Ray Lewis Do Pa receive the assignment of its 1578534541 from the Centers for Medicare & Medicaid Services?

The A Ray Lewis Do Pa was issued its 1578534541 by the Centers for Medicare & Medicaid Services on 2006-01-30.

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