Individual
DR. MARK DAVID LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 WILFORD HALL LOOP, LACKLAND AFB, TX 78236-5638
(210) 292-2055
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
81935
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3180344
—
MA
Enumeration date
12/15/2005
Last updated
07/19/2021
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