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NPI Code Detail

MEDICARE: JUDY LEVISON MD

MEDICARE: JUDY LEVISON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianK9329TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104906502
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY LEVISON MD
Provider Business Mailing Address
First Line : 1100 W 34TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77018-6206
Country : US
Telephone Number : 713-861-3939
Fax Number : 713-867-7819
Provider Business Practice Location Address
First Line : 1100 W 34TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77018-6206
Country : US
Telephone Number : 713-861-3939
Fax Number : 713-867-7819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 01/29/2008

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Directions to “ JUDY LEVISON MD” Practice Location

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