Levy, Mark J
Levy, Mark J is an individual health care provider with primary practice located at 2555 Western Trails Blvd Ste 101, Austin TX 78745-1574. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Levy, Mark J can be contacted via phone (512) 892-6600.Contact Information
Primary practice address
2555 Western Trails Blvd Ste 101
Austin TX 78745-1574
Phone: (512) 892-6600
Fax: (512) 892-6609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H7077 | Texas |
Profile Details
| NPI number | 1801890595 |
|---|---|
| LBN Legal business name | Levy, Mark J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Aug 20th, 2014 - about 10 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 | 1801890595 | NPPES |
| Texas | MEDICAID | 083168701 |
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