# JLYLE MEDICAL CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669934774
- **Authorized official:** SHIRLEY LEVENSON (OWNER)
- **Authorized official phone:** (512) 774-0288

## Contact information

- **Practice address:** 501 N STONE ST, CALDWELL, TX 77836-1134
- **Practice address phone:** (979) 567-8500
- **Practice address fax:** (979) 567-8500
- **Mailing address:** 501 N STONE ST, CALDWELL, TX 77836-1134
- **Mailing address phone:** (979) 567-8500
- **Mailing address fax:** (979) 567-8500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2019
- **Last updated:** 02/21/2023