Provider Demographics
NPI:1407286982
Name:DEWS, ERNEST L JR
Entity Type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:L
Last Name:DEWS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 DEWS DR
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:TX
Mailing Address - Zip Code:75791-5002
Mailing Address - Country:US
Mailing Address - Phone:903-530-9491
Mailing Address - Fax:
Practice Address - Street 1:314 W RUSK ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1513
Practice Address - Country:US
Practice Address - Phone:903-533-8155
Practice Address - Fax:903-533-8158
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist