Provider Information for 1114567849
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Ms. KINO LEWIS LPC
Sex: Female
NPI: 1114567849
Last Updated: 2024-08-13
Certification Date: 2024-08-13
Certification Date: 2024-08-13
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1114567849 | ||||||||||||
| Enumeration Date | 2020-01-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4411 DACOMA ST HOUSTON, TX 77092-8611 United States Phone: 713-686-9194 | Fax: | ||||||||||||
| Primary Practice Address | 1214 N POST OAK RD STE 100 HOUSTON, TX 77055-7236 United States Phone: 713-686-9194 | Fax:713-686-9413 | ||||||||||||
| Secondary Practice Address(es) | 2012 NW MILITARY HWY STE 100 4131 SPICEWOOD SPRINGS RD STE J1 | ||||||||||||
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