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1760177992
KYLE BRENT LEWIS
FORT WORTH, TX
NPI
1760177992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-05
Last Update Date
2023-04-05
Business Address
Dr. KYLE BRENT LEWIS MD
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-1204
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Mailing Address
Dr. KYLE BRENT LEWIS MD
1110 SAINT PAUL ST
SLIDELL, LA 70460-2343
Phone number: 985-774-9432
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