Provider Demographics
NPI:1174551113
Name:LEVY, STEVEN ROBERT (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ROBERT
Last Name:LEVY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10375 NORTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-8200
Mailing Address - Country:US
Mailing Address - Phone:713-681-5000
Mailing Address - Fax:713-681-5002
Practice Address - Street 1:10375 NORTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-8200
Practice Address - Country:US
Practice Address - Phone:713-681-5000
Practice Address - Fax:713-681-5002
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0563207K00000X, 2080P0201X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137403513Medicaid
TX137403512Medicaid
TX8V8440OtherBC/BS