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Contact Information

DEJUAN LEWIS, M.ED, ATC, LAT
900 THOMPSON ST.
AUSTIN, TX78702
 Phone: 314-761-1310
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for DEJUAN LEWIS · (Male)

NPI Number 1073090395
Status Active
Credentials M.ED, ATC, LAT
Entity Individual
Enumeration date 07/20/2018
Last updated 04/28/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • TX License # 2000033700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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