Individual
MARY J. MCNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2001 AN COUNTY ROAD 156, PALESTINE, TX 75801-8725
(817) 944-0541
Mailing address
2001 AN COUNTY ROAD 156, PALESTINE, TX 75801-8725
(817) 944-0541
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
687322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87764U
BLUECROSS BLUE SHIELD
TX
Enumeration date
02/05/2006
Last updated
10/13/2015
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