Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | F3207 | TX |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | F3207 | TX |
NPI | 1598787814 |
---|---|
Provider Name | Dr. Alfred E Levy |
First Address | Plano, TX 75093-5340 |
Second Address | Plano, TX 75093-5340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 28/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
116433702 | (05) | TX |
1164337-04 | (05) | TX |
C18377 | (02) | TX |