=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487829214
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CLINICA LA SALUD PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2008
-----------------------------------------------------
Last Update Date | 01/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2323 WIRT RD STE F
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77055-1232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-467-4900
-----------------------------------------------------
Fax | 713-467-6006
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2323 WIRT RD STE F
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77055-1232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-467-4900
-----------------------------------------------------
Fax | 713-467-6006
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ PRESIDENT
-----------------------------------------------------
Name | DR. STEVEN R LEVY
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 713-530-1906
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------