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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1265431415 NPPES
Texas MEDICAID 120344004

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