Provider Demographics
NPI:1285781872
Name:LEVINE, ANDREW STEPHEN (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:STEPHEN
Last Name:LEVINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5959 WEST LOOP S STE 375
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2403
Mailing Address - Country:US
Mailing Address - Phone:713-665-3131
Mailing Address - Fax:713-665-3164
Practice Address - Street 1:5959 WEST LOOP S STE 375
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2403
Practice Address - Country:US
Practice Address - Phone:713-665-3131
Practice Address - Fax:713-665-3164
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE5827208VP0000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAL57Medicare ID - Type Unspecified
TXC18362Medicare UPIN