Provider Demographics
NPI:1437588704
Name:JAPERA N LEVINE DPM, PLLC
Entity Type:Organization
Organization Name:JAPERA N LEVINE DPM, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAPERA
Authorized Official - Middle Name:N
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:409-833-3668
Mailing Address - Street 1:350 PINE ST
Mailing Address - Street 2:SUITE 1420
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-2441
Mailing Address - Country:US
Mailing Address - Phone:409-833-3668
Mailing Address - Fax:409-833-3667
Practice Address - Street 1:3155 EXECUTIVE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77705-1000
Practice Address - Country:US
Practice Address - Phone:409-833-3668
Practice Address - Fax:409-833-3667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2037213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty