Provider Demographics
NPI:1720120066
Name:ALPHONSUS U. LEWIS
Entity Type:Organization
Organization Name:ALPHONSUS U. LEWIS
Other - Org Name:UNIVERSAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALPHONSUS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-914-9141
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000108300Medicaid
TX678449Medicare Oscar/Certification