Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | H0563 | TX |
Y | 208000000X | Pediatrician | H0563 | TX |
N | 2080P0201X | Pediatric Allergist | H0563 | TX |
NPI | 1174551113 |
---|---|
Provider Name | Steven Robert Levy |
First Address | Houston, TX 77092-8200 |
Second Address | Houston, TX 77092-8200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 07/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
137403512 | (05) | TX |
137403513 | (05) | TX |
8V8440 | BC/BS (01) | TX |
E77066 | (02) |