Organization
JACK M. NEAGLE JR., DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK NEAGLE (REGISTERED AGENT)
(936) 539-2980
Entity
Organization
Contact information
Practice address
1805 W WHITE OAK TER, SUITE C, CONROE, TX 77304-3590
(936) 539-2980
(936) 539-2969
Mailing address
1805 W WHITE OAK TER, SUITE C, CONROE, TX 77304-3590
(936) 539-2980
(936) 539-2969
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
22205
TX
Other
Enumeration date
02/16/2009
Last updated
04/21/2009
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