Individual provider · Type 1 NPI

Kyle Brent Lewis, MD

Student in an Organized Health Care Education/Training Program · Fort Worth, TX

NPI number 1760177992 Active

Practice location

1500 S Main St
Fort Worth, TX 76104-4917

Call (817) 702-1204 Map

Mailing address

1110 Saint Paul St
Slidell, LA 70460-2343

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760177992

Kyle Brent Lewis, MD's National Provider Identifier is 1760177992, issued on Apr 5, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 5, 2023.