Individual
JONATHAN N LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.E.
Contact information
Practice address
12951 SOUTH FWY, HOUSTON, TX 77047-1923
(713) 526-5771
(713) 526-2036
Mailing address
PO BOX 4346, DEPT 488, HOUSTON, TX 77210-4346
(713) 441-7558
(713) 790-2948
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K9106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044792201
—
TX
Enumeration date
10/25/2005
Last updated
09/29/2016
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