Healthcare Provider Details

I. General information

NPI: 1639596554
Provider Name (Legal Business Name): EMILY LEVY SPINNER MS, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY LEVY MS, PA-C

II. Dates (important events)

Enumeration Date: 03/28/2014
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 WEST LOOP S SUITE 800
BELLAIRE TX
77401-3500
US

IV. Provider business mailing address

11511 SHADOW CREEK PKWY
PEARLAND TX
77584-7298
US

V. Phone/Fax

Practice location:
  • Phone: 713-661-4383
  • Fax: 713-661-4346
Mailing address:
  • Phone: 713-442-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA07815
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: