Provider Demographics
NPI:1043329709
Name:LEWIS, STEVEN R (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:R
Last Name:LEWIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 COUNTY ROAD 693
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GAP
Mailing Address - State:TX
Mailing Address - Zip Code:79805
Mailing Address - Country:US
Mailing Address - Phone:325-670-9799
Mailing Address - Fax:325-670-9609
Practice Address - Street 1:3301 S 14TH ST
Practice Address - Street 2:STE 45
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605
Practice Address - Country:US
Practice Address - Phone:325-670-9799
Practice Address - Fax:325-670-9609
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5515111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor