Individual
FREDERICK LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 E WHITESTONE BLVD, CEDAR PARK, TX 78613-9093
(512) 684-4000
(512) 260-1079
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D44291
MD
207P00000X
Emergency Medicine Physician
Primary
P4198
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
643201800
—
MD
Enumeration date
06/16/2006
Last updated
05/25/2022
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