Provider Demographics
NPI:1750351219
Name:LEVY, STEVEN JAY (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAY
Last Name:LEVY
Suffix:
Gender:M
Credentials:DO
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 460569
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-8569
Mailing Address - Country:US
Mailing Address - Phone:713-781-4600
Mailing Address - Fax:713-917-5780
Practice Address - Street 1:1429 HIGHWAY 6 SOUTH
Practice Address - Street 2:SUITE 206
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5134
Practice Address - Country:US
Practice Address - Phone:713-781-4600
Practice Address - Fax:713-917-5780
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE-9772207RG0300X
TXE9772207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8169M0OtherBCBS
TX8GM032OtherBCBS
TX8GM032OtherBCBS
TX554651YN34Medicare UPIN
TXA67331Medicare UPIN
TX8169M0Medicare PIN