Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 11182862 | TX |
Y | 176B00000X | Midwife | 99249 | TX |
NPI | 1013378546 |
---|---|
Provider Name | Letha Levins |
First Address | Houston, TX 77009-6203 |
Second Address | Houston, TX 77008-2312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2016 |
Last Update Date | 10/03/2016 |