Individual
MATTHEW JOHN LEVENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 590-5611
(214) 645-2808
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 590-5611
(214) 645-2808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M6257
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M6257
TX
207RP1001X
Pulmonary Disease Physician
Primary
M6257
TX
Other
Enumeration date
05/22/2007
Last updated
08/22/2023
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