Individual
MOISE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 628-1920
(512) 628-1921
Mailing address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 628-1920
(512) 628-1921
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
F4210
TX
207NP0225X
Pediatric Dermatology Physician
Primary
F4210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134853409
—
TX
Enumeration date
10/17/2006
Last updated
01/10/2012
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