# DAVID S LEVEY MD PA

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

## Provider details

- **NPI number:** 1902959380
- **Authorized official:** DAVID STANLEY LEVEY MD (RADIOLOGIST)
- **Authorized official phone:** (210) 492-0050

## Contact information

- **Practice address:** 622 CINNAMON OAK, SHAVANO PARK, TX 78230-5649
- **Practice address phone:** (210) 492-0050
- **Practice address fax:** (210) 492-0060
- **Mailing address:** 622 CINNAMON OAK, SHAVANO PARK, TX 78230-5649
- **Mailing address phone:** (210) 492-0050
- **Mailing address fax:** (210) 492-0060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | TX J4892 | TX | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 10/21/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 119324508 | — | TX |