Lewis Podiatry Group Pa

NPI 1093935801 - Podiatrist - 213ES0103X

NPI Details
NPI 1093935801
Enumeration Date 04/26/2007
Last Updated 05/06/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRANDON J BRANDON
Position PRESIDENT
Phone (973) 263-7042
Fax (972) 263-7046
Practice Location
504 N CARRIER PKWY
GRAND PRAIRIE TX, 75050-5428, US
Phone (973) 263-7042
Fax (972) 263-7046
Business Location
504 N CARRIER PKWY
GRAND PRAIRIE TX, 75050-5428, US
Phone (973) 263-7042
Fax (972) 263-7046
Toxanomy
Taxonomy Code 213ES0103X
License State Texas
License Number 1574
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According to our database, Lewis Podiatry Group Pa NPI is 1093935801, taxonomy code is 213ES0103X and license number is 1574, license state is located at Texas. Lewis Podiatry Group Pa physically located at 504 N Carrier Pkwy, Grand Prairie TX, 75050-5428. NPI Number 1033115704 has the healthcare provider type.

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1093935801 NPI number is provided on an as is basis without warranty of any kind. 1093935801 is maintained by the National Plan & Provider Enumeration System. The contents of Lewis Podiatry Group Pa are for informational purposes only.