Individual
DAVID LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 W. COLORADO BLVD., PAVILION II SUITE 831, DALLAS, TX 75208
(214) 933-7430
(214) 947-8609
Mailing address
221 W. COLORADO BLVD., PAVILION II SUITE 831, DALLAS, TX 75208
(214) 933-7430
(214) 947-8609
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G9287
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G96287
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060041840
RAILROAD MEDICARE
TX
05
—
113958603
—
TX
01
—
88K979
BCBS
TX
Enumeration date
07/14/2006
Last updated
11/25/2020
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