Constance Jean Lewis
Nurse Practitioner - Gerontology
4500 S Lancaster Rd
Dallas
, Texas 75216-7167
Constance Jean Lewis
Nurse Practitioner - Gerontology
4500 S Lancaster Rd
Dallas
, Texas 75216-7167
(409) 392-7127
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Constance Jean Lewis
- 31 Colony Park Cir
- Galveston, TX
- Zip : 77551-1737
- Phone : (409) 392-7127
Second Address
- Constance Jean Lewis
- 4500 S Lancaster Rd
- Dallas, TX
- Zip : 75216-7167
- Phone : (214) 857-2254
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 562644 | TX |
National Provider Identifier
| NPI | 1053570069 |
|---|---|
| Provider Name | Constance Jean Lewis |
| First Address | Galveston, TX 77551-1737 |
| Second Address | Dallas, TX 75216-7167 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2008 |
| Last Update Date | 04/06/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.