Organization
HEALTHWISE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY D. NEAL MD (MEMBER)
(713) 376-4232
Entity
Organization
Contact information
Practice address
16126 MILLERS LANDING LN, HOUSTON, TX 77049-4849
(713) 376-4235
Mailing address
16126 MILLERS LANDING LN, HOUSTON, TX 77049-4849
(713) 376-4235
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/20/2020
Last updated
12/07/2020
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