Neal, Kerry D

Neal, Kerry D is an individual health care provider with primary practice located at 1054 Texan Trl Ste 100, Grapevine TX 76051-3784. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Neal, Kerry D can be contacted via phone (817) 424-3112.

Contact Information

Primary practice address
1054 Texan Trl Ste 100 Grapevine TX 76051-3784
Fax: (817) 439-6839
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X H0090 Texas

Profile Details

NPI number 1417073701
LBN Legal business name Neal, Kerry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jan 14th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417073701 NPPES
Texas MEDICAID 1020355-01

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