Individual
DR. ROBERT S. LEVERTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
F5274
TX
207RC0000X
Cardiovascular Disease Physician
Primary
F5274
TX
207RI0011X
Interventional Cardiology Physician
F5274
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089633403
—
TX
01
—
752069647
CHAMPUS AND CHAMPVA
TX
01
—
8AJ153
BCBS
—
Enumeration date
04/19/2007
Last updated
11/07/2012
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