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Individual

ANDREW LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 E SAVANNAH AVE STE 4, MCALLEN, TX 78503-1728
(956) 383-4041
(956) 383-4183
Mailing address
1200 E SAVANNAH AVE STE 4, MCALLEN, TX 78503-1728
(956) 383-4041
(956) 383-4183

Taxonomy

Speciality
Code
Description
License number
State
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
09/23/2024
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