NPI 1649535980

Levon Ray Cruce, CPBOCPO

Practitioner Prosthetist Beaumont, TX

Practice location

Address: 2473 McFaddin St, Beaumont, TX 77702-1921
Phone: (337) 244-3011

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 103 (TX)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 103 (TX)

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Registry record

NPI: 1649535980
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2012
Record last updated: 12 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.