DERI M LEWIS MD PA
Medical Practice at Forest Ln, Dallas, TX

License number
Texas M4289
Category
Medical Practice
Type
Specialist
Owner
Name: DERI M LEWIS MD PA
Title: OWNER
Phone: (972) 566-5880
Address
Address
7777 Forest Ln, Dallas, TX 75230
National Provider ID: 1992033021
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DERI M LEWIS MD PA at bizstanding.com

DERI M. LEWIS, MD PA

7777 Frst Ln STE C522, Dallas, TX 75230

Status:
Inactive
Industry:
Oncology, Surgeons
Doing business as:
Deri Lewis MD
Registration:
Nov 25, 2009
Phone:
(972) 566-5880 (Phone)
State ID:
0801198620
Business type:
Professional Association
Director, Member, Secretary, President:
Deri Michelle Lewis Director, Member, Secretary, President, inactive
Agent:
Deri Lewis,7777 Frst Ln STE C-522, Dallas, TX 75230 (Physical)
TIN:
32040748975

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