| Vincent Lewis Medical, Pa | |
|
908 9th Ave Ft Worth TX 76104-3904 | |
| (817) 332-5227 | |
| (817) 332-1665 |
| Full Name | Vincent Lewis Medical, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 908 9th Ave, Ft Worth, Texas |
| Authorized Official Name and Position | Vincent J Lewis (OWNER) |
| Authorized Official Contact | 8173328227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Lewis Medical, Pa 908 9th Ave Ft Worth TX 76104-3904 Ph: (817) 332-5227 | Vincent Lewis Medical, Pa 908 9th Ave Ft Worth TX 76104-3904 Ph: (817) 332-5227 |
| NPI Number | 1396163440 |
|---|---|
| Provider Enumeration Date | 04/04/2014 |
| Last Update Date | 04/04/2014 |
| Medicare PECOS PAC ID | 5890915482 |
|---|---|
| Medicare Enrollment ID | O20141002000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396163440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Vincent J Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407819493 PECOS PAC ID: 3678623519 Enrollment ID: I20090615000409 |
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