| Msonthi B, Levine, Pa | |
|
3560 Delaware St Ste 1104 Beaumont TX 77706-3000 | |
| (409) 346-3721 | |
| (409) 860-9078 |
| Full Name | Msonthi B, Levine, Pa |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3560 Delaware St Ste 1104, Beaumont, Texas |
| Authorized Official Name and Position | Msonthi B Levine (OWNER) |
| Authorized Official Contact | 4093473621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Msonthi B, Levine, Pa 3560 Delaware St Ste 1104 Beaumont TX 77706-3000 Ph: (409) 346-3721 | Msonthi B, Levine, Pa 3560 Delaware St Ste 1104 Beaumont TX 77706-3000 Ph: (409) 346-3721 |
| NPI Number | 1639576903 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 12/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639576903 | NPI | - | NPPES |
| 00517L | Other | TX | CMS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | K8650 (Texas) | Primary |
| 363L00000X | Nurse Practitioner | AP125323 (Texas) | Secondary |
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