East Fort Worth Medical Clinic

LBN: A Ray Lewis Do Pa
East Fort Worth Medical Clinic is an health care organization with primary practice located at 4732 E. Lancaster St , Fort Worth TX 76103-3836. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. A Ray Lewis Do Pa can be contacted via phone (817) 534-1010, or through Lewis, Adolphus Ray via phone (817) 534-1010.

Contact Information

Primary practice address
4732 E. Lancaster St Fort Worth TX 76103-3836
Fax: (817) 413-0300
Website:
Authorized official contact:
Name: Lewis, Adolphus Ray Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X

Profile Details

NPI number 1578534541
LBN Legal business name A Ray Lewis Do Pa
DBA Doing business as East Fort Worth Medical Clinic
Authorized official Lewis, Adolphus Ray Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2006
Last updated Jan 31st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578534541 NPPES
Texas Other 080012814 PALMETTO GBA
Texas Other 0064QF PALMETTO GBA

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