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Individual

SAMANTHA NEALON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 618-5500
Mailing address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-9087
(813) 974-6580
(813) 905-9842

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0093542
MD
208800000X
Urology Physician
T0384
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/06/2016
Last updated
02/25/2026
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