Individual
BECKY RENEE O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1100
Mailing address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 354-5630
(806) 354-5689
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
508122
TX
364SN0000X
Neonatal Clinical Nurse Specialist
508122
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113194804
—
TX
05
—
113194805
—
TX
05
—
200486870 A
—
OK
05
—
95976566
—
NM
Enumeration date
11/24/2008
Last updated
01/24/2023
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