Charles Deron Lewis

NPI #1073504437 in Carthage, Texas

Provider Information

NPI Number
1073504437
Entity Type
Organization
Organization Name
Charles Deron Lewis
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Nov 3, 2005
Last Updated
May 11, 2012

Practice Location

Address
310 N ADAMS STREET
State
Texas
ZIP Code
75633
Phone
(903) 694-2285

Authorized Official

Name
MR. CHARLES DERON LEWIS
Title
OWNER/PROPRIETOR
Phone
(903) 694-2285

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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