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Individual

ERIC LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9800
(806) 354-5689
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 414-9800
(806) 354-5689

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G8241
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
G8241
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100152890A
OK
05
136970410
TX
05
136970411
TX
05
136970412
TX
05
136970413
TX
01
8E0575
MEDICARE
TX
05
X4469
NM
Enumeration date
07/31/2006
Last updated
07/27/2015
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