| Organization Name: | EC LEWISVILLE, LLC |
| NPI Number: | 1053675736 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY SEAY (CEO) |
| Mailing Address: | 4780 Sh 121 The Colony |
| State: | TX US |
| Postal Code: | 750562913 |
| Phone Number: | 2817841500 |
| Fax Number: | 2817841653 |
| NPI Enumeration Date: | 06/27/2012 |
| NPI Last Update Date: | 08/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | 160063 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |