OrganizationVincent Lewis Medical, PaFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address908 9th Ave, Ft Worth, TX 76104-3904(817) 332-5227PECOS EnrollmentBased on the most recent information from CMS, provider Vincent Lewis Medical, Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1396163440Provider TypeOrganizationFull NameVincent Lewis Medical, PaSubpartNoEnumeration Date4/4/2014Last Updated4/4/2014Contact InformationPractice LocationPractice Address908 9th Ave, Ft Worth, TX 76104-3904Phone(817) 332-5227Fax(817) 332-1665Mailing LocationMailing Address908 9th Ave, Ft Worth, TX 76104-3904Phone(817) 332-5227Fax(817) 332-1665Authorized OfficialNameLewis, Vincent J (Owner)Phone(817) 332-8227Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer