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Individual

DR. NEIL STANTON LEVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
12531 RENOIR LN, DALLAS, TX 75230-1749
(469) 802-9556
Mailing address
12531 RENOIR LN, DALLAS, TX 75230-1749
(469) 802-9556

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
G6960
TX
208000000X
Pediatrics Physician
G6960
TX

Other

Enumeration date
06/02/2006
Last updated
06/16/2018
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