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Individual

MR. BRIAN CONWAY NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5605 N MACARTHUR BLVD, STE. 220, IRVING, TX 75038-2617
(972) 714-0007
(972) 714-0009
Mailing address
5605 N MACARTHUR BLVD, STE. 220, IRVING, TX 75038-2617
(972) 714-0007
(972) 714-0009

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
583770
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002606407
TX
05
002606411
TX
Enumeration date
05/16/2006
Last updated
07/08/2013
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