MEDICARE: DR. FERNANDO PANO LEVARO 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
1	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	L2412	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1811991367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FERNANDO PANO LEVARO MD

Provider Business Mailing Address
First Line	:	1200 BINZ ST
Second Line	:	# 100
City	:	HOUSTON
State	:	TX
Zip	:	77004-6944
Country	:	US
Telephone Number	:	713-520-1210
Fax Number	:	713-400-8302

Provider Business Practice Location Address
First Line	:	1200 BINZ ST
Second Line	:	# 100
City	:	HOUSTON
State	:	TX
Zip	:	77004-6944
Country	:	US
Telephone Number	:	713-520-1210
Fax Number	:	713-400-8302

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	02/28/2013

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