1528218831 NPI number — AARON M. LEVINE, M.D., P.A.

Table of content: (NPI 1528218831)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528218831 NPI number — AARON M. LEVINE, M.D., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AARON M. LEVINE, M.D., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
AARON M. LEVINE, M.D.
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528218831
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11914 ASTORIA BLVD STE 540
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77089-6050
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-484-8123
Provider Business Mailing Address Fax Number:
281-484-5184

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11914 ASTORIA BLVD STE 540
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77089-6050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-484-8123
Provider Business Practice Location Address Fax Number:
281-484-5184
Provider Enumeration Date:
09/23/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LEVINE
Authorized Official First Name:
AARON
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
281-484-8123

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  F3535 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 128224601 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".