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Individual

MICHAEL NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
13601 PRESTON RD, DALLAS, TX 75240-4911
(972) 715-5007
(972) 715-5682
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5007

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
720807
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP117475
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080010
CCNA NUMBER
TX
01
720807
TX RN LICENSE
TX
Enumeration date
10/09/2008
Last updated
01/21/2021
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