Individual
MR. WILLIE J NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
876 KINWEST PKWY, APT 13, IRVING, TX 75063-8591
(682) 777-6520
Mailing address
876 KINWEST PKWY, APT 13, IRVING, TX 75063-8591
(682) 777-6520
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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