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A RAY LEWIS DO PLLC NPI 1053643130


NPI Information

NPI: 1053643130
Provider Name: A RAY LEWIS, DO, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4732 E LANCASTER AVE STE A
FORT WORTH, TX
ZIP 76103
Phone: (817) 413-0943
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A RAY LEWIS, DO, PLLC is a family medicine in Fort Worth, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. A RAY LEWIS, DO, PLLC NPI is 1053643130. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4732 E LANCASTER AVE STE A
FORT WORTH, TX
ZIP 76103-836
Phone: (817) 413-0943
Fax: (817) 413-0300

The provider's authorized official is Adolphus Ray Lewis .
The authorized official title is Owner/physician and has the following contact phone number (817) 413-0943.

The enumeration date for this NPI number is 2/1/2010 and was last updated on 5/26/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10068TDOTHERTEXASBLUE CROSS BLUE SHIELD
2DQ6866OTHERTEXASPALMETTO GBA RAILROAD MEDICARE
32166985-01MEDICAIDTEXAS
42166936-01MEDICAIDTEXAS
5TXB105773MEDICARE PINTEXAS
6TXB105775MEDICARE PINTEXAS

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: 11/14/2023

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