Provider Demographics
NPI:1275520272
Name:LEWIS, JAMES (PT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:LEWIS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:5100 W ELDORADO PKWY STE 102
Mailing Address - Street 2:PMB #20-ASSC
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7295
Mailing Address - Country:US
Mailing Address - Phone:972-486-3115
Mailing Address - Fax:972-486-3115
Practice Address - Street 1:1111 RAINTREE CIR
Practice Address - Street 2:SUITE 150
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4901
Practice Address - Country:US
Practice Address - Phone:214-509-0029
Practice Address - Fax:214-509-0070
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2007-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1116721225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T1985OtherBCBS
TX8T1985OtherBCBS