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Individual

DR. MICHAEL D. NEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7502 COUNTY ROAD 410, MERTZON, TX 76941
(325) 835-7062
(325) 835-2414
Mailing address
PO BOX 442, 7502 COUNTY ROAD 410, MERTZON, TX 76941
(325) 835-7062
(325) 835-2414

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
H0674
TX
305R00000X
Preferred Provider Organization
Primary
H0674
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00B85Q
MEDICARE PART B
TX
05
092496102
TX
05
138760721
TX
Enumeration date
07/12/2006
Last updated
07/20/2009
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