MEDICARE: CARY LEVERETT MD PA

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
1	208800000X	Urology Physician

General Provider Information

NPI Number	:	1386877884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARY LEVERETT MD PA

Provider Business Mailing Address
First Line	:	876 LOOP 337 STE 302
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-3553
Country	:	US
Telephone Number	:	830-625-8088
Fax Number	:	830-629-9215

Provider Business Practice Location Address
First Line	:	876 LOOP 337 STE 302
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-3553
Country	:	US
Telephone Number	:	830-625-8088
Fax Number	:	830-629-9215

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JAMES MANSEL HARRIS
Credential	:
Telephone Number	:	830-625-8088

Provider Enumeration Date	:	08/31/2009
Last Update Date	:	09/01/2009

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Directions to “CARY LEVERETT MD PA ” Practice Location

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