Provider Demographics
NPI:1689670093
Name:LEWIS, ROBERT Q (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:Q
Last Name:LEWIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6770
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78466-6770
Mailing Address - Country:US
Mailing Address - Phone:361-883-2000
Mailing Address - Fax:361-561-1354
Practice Address - Street 1:6118 PARKWAY DR.
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-2455
Practice Address - Country:US
Practice Address - Phone:361-883-2000
Practice Address - Fax:361-561-1354
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1746207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200035252OtherMEDICARE B RAILROAD
TX110229503Medicaid
TX89052NMedicare PIN
TX110229503Medicaid
TX200035252OtherMEDICARE B RAILROAD