A RAY LEWIS DO PA NPI 1578534541

NPI Information

  • NPI: 1578534541
  • Provider Name: A RAY LEWIS DO PA
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Doing Business As: EAST FORT WORTH MEDICAL CLINIC
  • CLIA Number: 45D2272888
  • Address: 4732 E. LANCASTER ST
    FORT WORTH, TX
    ZIP 76103
  • Phone: (817) 534-1010

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NPI Details

A RAY LEWIS DO PA is a geriatric medicine family medicine in Fort Worth, TX. The provider is 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 home, the office, long-term care settings such as nursing homes, and the hospital. A RAY LEWIS DO PA NPI is 1578534541. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Fort Worth Medical Clinic.

The provider's business location address is:

4732 E. LANCASTER ST
FORT WORTH, TX
ZIP 76103-836
Phone: (817) 534-1010
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) 534-1010.

The CLIA number assigned to this NPI record is 45D2272888 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 1/31/2008.

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
1207QG0300XFamily MedicineGeriatric 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10064QFOTHERTEXASBLUE CROSS BLUE SHIELD
2080012814OTHERTEXASPALMETTO GBA

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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