Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 2354TG | TX |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 02354TG | TX |
NPI | 1245231455 |
---|---|
Provider Name | Dr. George Morris Neel |
First Address | Keller, TX 76244-1448 |
Second Address | Keller, TX 76248-7043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 22/01/2020 |