Provider Demographics
NPI:1922591205
Name:DAVIS & LEWIS PLLC
Entity Type:Organization
Organization Name:DAVIS & LEWIS PLLC
Other - Org Name:DAVIS AND LEWIS PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, JD
Authorized Official - Phone:402-598-5036
Mailing Address - Street 1:PO BOX 88344
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77288-0344
Mailing Address - Country:US
Mailing Address - Phone:402-598-5036
Mailing Address - Fax:
Practice Address - Street 1:440 BENMAR DR STE 2400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3130
Practice Address - Country:US
Practice Address - Phone:402-598-5036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX587601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty