Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | E8085 | TX |
NPI | 1043259112 |
---|---|
Provider Name | Dr. Thomas F Neal |
First Address | Lubbock, TX 79410-1301 |
Second Address | Lubbock, TX 79410-1301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 23/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040016968 | RAILROAD MEDICARE (01) | TX |
110339201 | (05) | TX |
88680X | BC/BS (01) | TX |
B25105 | (02) | TX |