Provider Demographics
NPI:1578537502
Name:LEWIS, MARGARET J (CRNA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:J
Last Name:LEWIS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 S MAYS ST STE 201
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-7580
Mailing Address - Country:US
Mailing Address - Phone:512-244-4272
Mailing Address - Fax:512-244-2895
Practice Address - Street 1:2304 HANCOCK DR
Practice Address - Street 2:SUITE 4
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-2543
Practice Address - Country:US
Practice Address - Phone:512-407-8444
Practice Address - Fax:512-407-8097
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX509103367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
P000320994OtherMEDICARE RAILROAD
TX509103OtherRN LICENSE
TX002165105Medicaid
TX002165103Medicaid
TX509103OtherRN LICENSE
8G3094Medicare PIN
8D7177Medicare PIN