Kanissa Lewis
Individual provider Active NPI Contractor · Houston, TX
NPI 1194950832 · NPPES record last updated May 26, 2009
Key facts
- NPI
- 1194950832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 9000 Fondren Rd Apt C235
Houston, TX 77074-6959 - Phone
- (713) 679-4542
- Fax
- (713) 774-6416
- NPI assigned
- May 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
9000 Fondren Rd Apt C235
Houston, TX 77074-6959
Mailing address
9000 Fondren Rd Apt C235
Houston, TX 77074-6959
Phone (713) 679-4542
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.