LEWIS PODIATRY GROUP PA NPI 1093935801

NPI Information

NPI: 1093935801
Provider Name: LEWIS PODIATRY GROUP PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
504 N CARRIER PKWY
GRAND PRAIRIE, TX
ZIP 75050
Phone: (973) 263-7042
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LEWIS PODIATRY GROUP PA is a foot and ankle surgery podiatrist in Grand Prairie, TX. LEWIS PODIATRY GROUP PA NPI is 1093935801. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

504 N CARRIER PKWY
GRAND PRAIRIE, TX
ZIP 75050-428
Phone: (973) 263-7042
Fax: (972) 263-7046

The provider's authorized official is Brandon J Lewis .
The authorized official title is President and has the following contact phone number (972) 263-7042.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 5/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	1574	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	180094801	MEDICAID	TEXAS
2	5557490001	MEDICARE NSC	TEXAS
3	00W066	MEDICARE UPIN	TEXAS
4	0006NH	OTHER	TEXAS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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