Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | K4746 | TX |
N | 208200000X | Surgeon | K4746 | TX |
N | 208600000X | Surgeon | K4746 | TX |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | K4746 | TX |
NPI | 1043290935 |
---|---|
Provider Name | Dr. Jeffrey Don Mcneil |
First Address | San Antonio, TX 78229-3901 |
Second Address | Lackland Afb, TX 78236-5300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 29/05/2008 |