| NPI | 1124205158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYMON EDWARD LEWIS Physician 817-341-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1477) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2009-01-20 |