Lewis, Jerry Wayne

Lewis, Jerry Wayne is an individual health care provider with primary practice located at 11500 State Highway 121 Ste 810 , Frisco TX 75035-9347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Lewis, Jerry Wayne can be contacted via phone (214) 618-9622.

Contact Information

Primary practice address
11500 State Highway 121 Ste 810 Frisco TX 75035-9347
Phone: (214) 618-9622
Fax: (833) 753-1061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X H8208 Texas

Profile Details

NPI number 1124005152
LBN Legal business name Lewis, Jerry Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 16th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124005152 NPPES
Texas MEDICAID 137545313
Texas Other 8A4769
Texas MEDICAID 137545314
Texas MEDICAID 137545316
Texas MEDICAID 137545311
Texas MEDICAID 137545315

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