CHARLES DERON LEWIS NPI 1073504437

NPI Information

  • NPI: 1073504437
  • Provider Name: CHARLES DERON LEWIS
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: RELIABLE HEALTHCARE
  • Address: 310 N ADAMS STREET
    CARTHAGE, TX
    ZIP 75633
  • Phone: (903) 694-2285

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NPI Details

CHARLES DERON LEWIS is a durable medical equipment medical supplies in Carthage, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CHARLES DERON LEWIS NPI is 1073504437. The provider is registered as an organization entity type.
The provider Is Doing Business As Reliable Healthcare.

The provider's business location address is:

310 N ADAMS STREET
CARTHAGE, TX
ZIP 75633
Phone: (903) 694-2285
Fax: (903) 694-9658

The provider's authorized official is Charles Deron Lewis .
The authorized official title is Owner/proprietor and has the following contact phone number (903) 694-2285.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 5/11/2012.

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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
1530941OTHERTEXASBCBS
2010568601MEDICAIDTEXAS
31157240001MEDICARE ID-TYPE UNSPECIFIED
4016517701MEDICAIDTEXAS

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: 11/21/2025

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