Individual
ANDREW LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K4124
TX
207RN0300X
Nephrology Physician
Primary
K4124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031009601
—
TX
05
—
031009605
—
TX
01
—
8AU910
BLUE CROSS BLUE SHIELD
TX
01
—
K4124
MEDICAL LICENSE
TX
01
—
P00309343
PALMETTO
TX
Enumeration date
01/27/2006
Last updated
07/14/2026
Update your record
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