Provider Demographics
NPI:1821243155
Name:LEWIS, ALPHONSUS (REGISTERED NURSE (RN)
Entity Type:Individual
Prefix:
First Name:ALPHONSUS
Middle Name:
Last Name:LEWIS
Suffix:
Gender:M
Credentials:REGISTERED NURSE (RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 HARWIN DR STE 275
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2142
Mailing Address - Country:US
Mailing Address - Phone:713-914-9141
Mailing Address - Fax:713-914-9464
Practice Address - Street 1:7111 HARWIN DR STE 275
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:713-914-9141
Practice Address - Fax:713-914-9464
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health