HAROLD D LEWIS DO PA
Ambulatory Health at William Cannon Dr, Austin, TX

License number
Texas E6126
Category
Osteopathic Medicine
Type
Family Medicine
License number
Texas E6126
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. HAROLD DAVIS LEWIS DO
Title: SOLE PRACTITIONER OWNER
Phone: (512) 444-2661
Address
Address
1901 WEST William Cannon Dr SUITE 123, Austin, TX 78745
National Provider ID: 1003005232
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HAROLD D. LEWIS, D.O., PA

1901 W William Cannon Dr STE 123, Austin, TX 78745

Status:
Inactive
Industry:
Medical Doctor's Office, Therapy Clinic
Doing business as:
Family Practice & Chronic Pain Clinics<br>Family Practice & Occupational Health Clinics<br>Family Practice Clinic<br>Harold D. Lewis, D.O., PA<br>Osteopathic Concepts
Registration:
Jul 5, 1995
Phone:
(512) 444-2661 (Phone), (512) 302-4773 (Phone)
State ID:
0081628303
Business type:
Professional Association
President , Member , Director , Vice-President:
Harold D. Lewis President , Member , Director , Vice-President, inactive
Agent:
Lewis Davis Harold,1901 W William Cannon Blvd, Austin, TX 78745 (Physical)
TIN:
32036016759

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