JACK BYRON LEWIS M.D.
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1396706487- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 252 MATLOCK RD STE 244, MANSFIELD, TX, 760634294
- Phone
- (817) 784-8268
- Fax
- (817) 477-8881
Specialties & Taxonomies
Urology
License: WI #43653-020
Urology
Primary License: OR #MD28015