Edward S Lewis
Sports Medicine Orthopaedic Surgeon
11623 Angus Rd Ste 15
Austin
, Texas 78759-4041
Edward S Lewis
Sports Medicine Orthopaedic Surgeon
11623 Angus Rd Ste 15
Austin
, Texas 78759-4041
(512) 345-2699
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Edward S Lewis
- 11623 Angus Rd Ste 15
- Austin, TX
- Zip : 78759-4041
- Fax : (512) 345-2699
- Phone : (512) 346-7170
Second Address
- Edward S Lewis
- 11623 Angus Rd Ste 15
- Austin, TX
- Zip : 78759-4041
- Fax : (512) 345-2699
- Phone : (512) 346-7170
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | F3210 | TX |
National Provider Identifier
| NPI | 1083696025 |
|---|---|
| Provider Name | Edward S Lewis |
| First Address | Austin, TX 78759-4041 |
| Second Address | Austin, TX 78759-4041 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2005 |
| Last Update Date | 12/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D66804 | (02) | TX |
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.