Individual
BRETT NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 E 15TH ST, AUSTIN, TX 78701-1930
(512) 324-8300
Mailing address
3500 JEFFERSON ST, STE 200, AUSTIN, TX 78731-6200
(512) 451-0139
(512) 323-5880
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
017694
NY
363AS0400X
Surgical Physician Assistant
Primary
PA10578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365787601
—
TX
Enumeration date
07/10/2014
Last updated
06/09/2017
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