Lewis, Michael Ross

Lewis, Michael Ross is an individual health care provider with primary practice located at 1136 E Grande Blvd , Tyler TX 75703-3982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Lewis, Michael Ross can be contacted via phone (903) 592-5601.

Contact Information

Primary practice address
1136 E Grande Blvd Tyler TX 75703-3982
Phone: (903) 592-5601
Fax: (903) 595-3304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X K4733 Texas

Profile Details

NPI number 1649269119
LBN Legal business name Lewis, Michael Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Dec 9th, 2016 - about 10 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649269119 NPPES
Texas MEDICAID 147525301

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