Provider Demographics
NPI:1881665974
Name:LEVINS, JOHN PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:PATRICK
Last Name:LEVINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1201 DAIRY ASHFORD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3017
Mailing Address - Country:US
Mailing Address - Phone:713-407-3000
Mailing Address - Fax:713-407-3035
Practice Address - Street 1:1201 DAIRY ASHFORD
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3017
Practice Address - Country:US
Practice Address - Phone:713-407-3000
Practice Address - Fax:713-407-3035
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH1006207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122842102Medicaid
TX122842102Medicaid
TX89E466Medicare PIN