Individual
DR. JENNIFER LEE MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 WALTER REED BLVD, MEDICAL PLAZA II, SUITE 301B, GARLAND, TX 75042-3701
(972) 485-2000
(972) 272-2294
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L9356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173912001
—
TX
05
—
173915303
—
TX
01
—
P00942272
RAILROAD MEDICARE
TX
Enumeration date
06/30/2006
Last updated
08/19/2011
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