Individual
MR. MALTIECE O'NEAL EL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-7878
Mailing address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(334) 559-2211
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14395
TX
Other
Enumeration date
11/02/2020
Last updated
06/07/2024
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