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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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