| Doctor Name: | DR. JOHN MARIO LEVRI |
| NPI Number: | 1689916637 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 1218 |
| Business Practice Address: | 36000 Darnall Loop Fort Hood, TX - 765445095 |
| Business Phone Number: | 2542878343 |
| Business Fax Number: | |
| Mailing Address: | Tmc 12 - Building 7015 Murphy Loop, Forth Hood, Tx, 76544 APO |
| State: | AA |
| Postal Code: | 76544 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2013 |
| NPI Last Update Date: | 09/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1218 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |