Provider Demographics
NPI:1972546380
Name:HELLERSTEIN, LEWIS J (MD)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:J
Last Name:HELLERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:1140 WESTMONT DR
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-4366
Practice Address - Country:US
Practice Address - Phone:713-330-3000
Practice Address - Fax:713-453-8300
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4613207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8R1460OtherBLUE CROSS OF TEXAS
TXB23426Medicare UPIN
TX87755KMedicare PIN
TX8R1460OtherBLUE CROSS OF TEXAS