Individual
CHARLOTTE RENAE NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1830 S KIRKWOOD RD, STE 103, HOUSTON, TX 77077-5032
(832) 640-9019
Mailing address
2420 STEVENS ST, STE A, HOUSTON, TX 77026-6325
(832) 640-9019
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT044715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502617461
—
TX
Enumeration date
06/03/2008
Last updated
09/24/2013
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