Provider Demographics
NPI:1376593194
Name:HOUSTON, HUGH LEAVELL III (MD)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:LEAVELL
Last Name:HOUSTON
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-239-2018
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:2200 MURPHY AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1826
Practice Address - Country:US
Practice Address - Phone:615-342-5820
Practice Address - Fax:615-342-5816
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35302208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6030589OtherBCBS TN
TN1515091Medicaid
TN1515091Medicaid
TN103I029603Medicare PIN