Organization
DENNIS K NEELY OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGUERITE NEELY C.P.O.T. (ASSISTANT MANAGER)
(432) 523-2660
Entity
Organization
Contact information
Practice address
301 NW AVE B, ANDREWS, TX 79714-5708
(432) 523-2660
(432) 523-6312
Mailing address
301 NW AVE B, ANDREWS, TX 79714-5708
(432) 523-2660
(432) 523-6312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3371TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E16Y
BCBS
TX
05
—
019240301
—
TX
Enumeration date
09/26/2008
Last updated
05/05/2010
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