Dr. Johanan Levine
Child Neurologist
4800 Alberta Ave
El Paso
, Texas 79905-2709
Dr. Johanan Levine
Child Neurologist
4800 Alberta Ave
El Paso
, Texas 79905-2709
(915) 545-6705
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Johanan Levine
- Po Box 9520
- El Paso, TX
- Zip : 79995-9520
- Fax : (915) 545-6705
- Phone : (915) 545-6703
Second Address
- Dr. Johanan Levine
- 4800 Alberta Ave
- El Paso, TX
- Zip : 79905-2709
- Fax : (915) 545-6705
- Phone : (915) 545-6703
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | F5275 | TX |
National Provider Identifier
| NPI | 1316945843 |
|---|---|
| Provider Name | Dr. Johanan Levine |
| First Address | El Paso, TX 79995-9520 |
| Second Address | El Paso, TX 79905-2709 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2005 |
| Last Update Date | 18/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C18360 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.