Individual
DR. JAMES E NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2165
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G4663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117684402
—
TX
01
—
821810
BLUE CROSS/BLUE SHIELD TX
TX
Enumeration date
05/01/2006
Last updated
12/18/2012
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