Organization
WEST TEXAS PEDIATRIC SUBSPECIALTY GROUP
Active
Organization
WEST TEXAS PEDIATRIC SUBSPECIALTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR YORK LEVY MD (CEO)
(817) 228-3947
Entity
Organization
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-1790
Mailing address
2533 ROGERS AVE, FORT WORTH, TX 76109-1348
(817) 228-3947
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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