Levitan, Mark
Levitan, Mark is an individual health care provider with primary practice located at 801 W 38Th St Suite 200, Austin TX 78705-1169. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Levitan, Mark can be contacted via phone (512) 451-0103.Contact Information
Primary practice address
801 W 38Th St Suite 200
Austin TX 78705-1169
Phone: (512) 451-0103
Fax: (512) 451-2741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | J3839 | Texas |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | J3839 | Texas |
Profile Details
| NPI number | 1609848399 |
|---|---|
| LBN Legal business name | Levitan, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | May 4th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609848399 | NPPES |
| Texas | Other | 8G5370 | BCBS TX |
| Texas | MEDICAID | 116713205 | BCBS TX |
| Texas | MEDICAID | 116713204 | BCBS TX |
| Texas | Other | 180044339 | BCBS TX |
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