Neeley, Samuel R
Neeley, Samuel R is an sole proprietor health care provider with primary practice located at 12446 West Ave Suite 200, San Antonio TX 78216-2517. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Neeley, Samuel R can be contacted via phone (210) 525-1668.Contact Information
Primary practice address
12446 West Ave Suite 200
San Antonio TX 78216-2517
Phone: (210) 525-1668
Fax: (210) 525-1669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | E8757 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | E8757 | Texas |
Profile Details
| NPI number | 1265431415 |
|---|---|
| LBN Legal business name | Neeley, Samuel R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Oct 19th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265431415 | NPPES |
| Texas | MEDICAID | 120344004 |
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