Individual
CAROL RAE NEILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 CLARA BARTON BLVD, SUITE 200, GARLAND, TX 75042-5738
(972) 272-6561
(972) 276-3067
Mailing address
601 CLARA BARTON BLVD, SUITE 200, GARLAND, TX 75042-5738
(972) 272-6561
(972) 276-3067
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02546
TX
Other
Enumeration date
02/17/2010
Last updated
08/23/2011
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