Provider Demographics
NPI:1568554707
Name:LEVINGSTON, YVETTE (NP)
Entity Type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:
Last Name:LEVINGSTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 846098
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-6098
Mailing Address - Country:US
Mailing Address - Phone:903-324-6450
Mailing Address - Fax:
Practice Address - Street 1:5321 S FM 14
Practice Address - Street 2:
Practice Address - City:HAWKINS
Practice Address - State:TX
Practice Address - Zip Code:75765-4839
Practice Address - Country:US
Practice Address - Phone:903-769-2990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP112037363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8108NNOtherBCBS
TX157066506Medicaid
TX75-2616977-066OtherTRICARE
TX787736OtherMEDICARE
TXP01447595OtherRAIL ROAD MEDICARE
TXP02223393OtherMEDICARE RAIL ROAD