NPI 1568113108

Rico Lewis, CCP

Practitioner Perfusionist Houston, TX

Practice location

Address: 17581 Red Oak Dr, Houston, TX 77090-1247
Phone: (360) 250-0367
Mailing address: 209 W 2nd St Unit 152, Fort Worth, TX 76102-3021

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence FPF00001203 (TX)

Other Perfusionist providers in Texas →

Registry record

NPI: 1568113108
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2022
Record last updated: 14 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.