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NPI Code Detail

MEDICARE: KRYSTINE GUERRA LEVY M.D.

MEDICARE:   KRYSTINE GUERRA LEVY  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
1207V00000XObstetrics & Gynecology Physician299417NY
2390200000XStudent in an Organized Health Care Education/Training Program
3207V00000XObstetrics & Gynecology PhysicianT1374TX

General Provider Information

NPI Number : 1881080869
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTINE GUERRA LEVY M.D.
Provider Business Mailing Address
First Line : 7777 FOREST LN STE 1200
Second Line :
City : DALLAS
State : TX
Zip : 75230-2571
Country : US
Telephone Number : 214-365-1150
Fax Number :
Provider Business Practice Location Address
First Line : 7777 FOREST LN STE D1200
Second Line :
City : DALLAS
State : TX
Zip : 75230-2598
Country : US
Telephone Number : 214-365-1150
Fax Number : 214-363-2477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2015
Last Update Date : 05/30/2023

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Directions to “ KRYSTINE GUERRA LEVY M.D.” Practice Location

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