Lewis, Jerry Wayne
Lewis, Jerry Wayne is an individual health care provider with primary practice located at 11500 State Highway 121 Ste 810 , Frisco TX 75035-9347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Lewis, Jerry Wayne can be contacted via phone (214) 618-9622.Contact Information
Primary practice address
11500 State Highway 121 Ste 810
Frisco TX 75035-9347
Phone: (214) 618-9622
Fax: (833) 753-1061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | H8208 | Texas |
Profile Details
| NPI number | 1124005152 |
|---|---|
| LBN Legal business name | Lewis, Jerry Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Oct 4th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124005152 | NPPES |
| Texas | MEDICAID | 137545313 | |
| Texas | MEDICAID | 137545314 | |
| Texas | MEDICAID | 137545316 | |
| Texas | MEDICAID | 137545311 | |
| Texas | Other | 8A4769 | |
| Texas | MEDICAID | 137545315 |
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