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Individual

LEWIS LEIBOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
(512) 447-2211
Mailing address
2131 BARTON HILLS DR, AUSTIN, TX 78704-4659
(512) 442-0842

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J3837
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
J3837
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125464103
TX
05
125464105
TX
Enumeration date
05/27/2006
Last updated
05/14/2010
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