Provider Demographics
NPI:1851970552
Name:ECKROTH, LEVI (FNP-C)
Entity Type:Individual
Prefix:
First Name:LEVI
Middle Name:
Last Name:ECKROTH
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9415 PANTHER CREEK PKWY APT 1424
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-1124
Mailing Address - Country:US
Mailing Address - Phone:214-729-1407
Mailing Address - Fax:
Practice Address - Street 1:2552 ELDORADO PKWY STE 550
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-8630
Practice Address - Country:US
Practice Address - Phone:214-729-1407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1034113363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily