Individual
DR. SAMUEL R NEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12446 WEST AVE, SUITE 200, SAN ANTONIO, TX 78216-2517
(210) 525-1668
(210) 525-1669
Mailing address
12446 WEST AVE, STE 200, SAN ANTONIO, TX 78216-2530
(210) 525-1668
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
E8757
TX
208M00000X
Hospitalist Physician
Primary
E8757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120344004
—
TX
Enumeration date
07/19/2005
Last updated
10/19/2016
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