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NPI Code Detail

MEDICARE: DR. ANDREW STEPHEN LEVINE M.D.

MEDICARE: DR. ANDREW STEPHEN LEVINE M.D.
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
1208VP0000XPain Medicine PhysicianE5827TX
2207X00000XOrthopaedic Surgery PhysicianE5827TX

General Provider Information

NPI Number : 1285781872
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW STEPHEN LEVINE M.D.
Provider Business Mailing Address
First Line : 5959 WEST LOOP S STE 375
Second Line :
City : BELLAIRE
State : TX
Zip : 77401-2403
Country : US
Telephone Number : 713-665-3131
Fax Number : 713-665-3164
Provider Business Practice Location Address
First Line : 5959 WEST LOOP S STE 375
Second Line :
City : BELLAIRE
State : TX
Zip : 77401-2403
Country : US
Telephone Number : 713-665-3131
Fax Number : 713-665-3164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 09/01/2021

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