Individual
MR. JOHN ALLAN NEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
310 HENDERSON ST, PALACIOS, TX 77465-3950
(361) 972-3664
Mailing address
101 AVENUE F N, BAY CITY, TX 77414-3167
(979) 245-2008
(979) 245-0744
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12007968
CAQH
—
05
—
356423904
—
TX
01
—
4580969
AETNA INS
—
01
—
H08GT84501
BCBS OF TX
TX
Enumeration date
08/18/2006
Last updated
05/15/2020
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