Individual
GLENN N LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2710 SABINE CT, PEARLAND, TX 77584-9130
(713) 858-0340
Mailing address
2710 SABINE CT, PEARLAND, TX 77584-9130
(713) 858-0340
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
72175
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91541
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/06/2006
Last updated
07/08/2007
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