Individual
DR. CATHERINE J. MCNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K4745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110210672
RR/MEDICARE
TX
05
—
1221129-03
—
TX
01
—
1221129-04
CSHCN
TX
01
—
8A3360
BLUE SHIELD
TX
Enumeration date
03/29/2006
Last updated
01/25/2022
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