Samuel R Neeley Md Pa
LBN: Samuel R Neeley Md Pa
Samuel R Neeley Md Pa is an health care organization with primary practice located at 12446 West Ave Suite 200, San Antonio TX 78216-2517. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty.
Samuel R Neeley Md Pa can be contacted via phone (210) 525-1668, or through Neeley, Samuel Robert 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:
Authorized official contact:
Name: Neeley, Samuel Robert Doctor of Medicine (MD)
Phone: (210) 525-1668
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | E8757 | Texas |
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | E8757 | Texas |
Profile Details
| NPI number | 1649391632 |
|---|---|
| LBN Legal business name | Samuel R Neeley Md Pa |
| DBA Doing business as | |
| Authorized official | Neeley, Samuel Robert Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | May 12th, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649391632 | NPPES |
| Texas | Other | 0015PZ | BLUE CROSS |
| Texas | Other | 004203225 | BLUE CROSS |
| Texas | MEDICAID | 120344004 | BLUE CROSS |
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