Individual
PHYLLIS F. MCNIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
800 E CALIFORNIA ST, SUITE 1, GAINESVILLE, TX 76240-4281
(940) 668-1118
(940) 668-1123
Mailing address
800 E CALIFORNIA ST, SUITE 1, GAINESVILLE, TX 76240-4281
(940) 668-1118
(940) 668-1123
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
121
TX
224P00000X
Prosthetist
Primary
121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121
TEXAS BOARD OF ORTHOTICS/PROSTHETICS
TX
Enumeration date
05/26/2012
Last updated
05/26/2012
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