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Organization

MSONTHI B, LEVINE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MSONTHI B LEVINE MD (OWNER)
(409) 347-3621
Entity
Organization

Contact information

Practice address
3560 DELAWARE ST STE 1104, BEAUMONT, TX 77706-3000
(409) 346-3721
(409) 860-9078
Mailing address
3560 DELAWARE ST STE 1104, BEAUMONT, TX 77706-3000
(409) 346-3721
(409) 860-9078

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
K8650
TX
363L00000X
Nurse Practitioner
AP125323
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00517L
CMS #
TX
Enumeration date
12/02/2014
Last updated
12/02/2014
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