Provider Demographics
NPI:1003821984
Name:DAVID G. MCNEIR, M.D.PA
Entity Type:Organization
Organization Name:DAVID G. MCNEIR, M.D.PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPIETOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:MCNEIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-353-1800
Mailing Address - Street 1:2 CARE CIR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-2118
Mailing Address - Country:US
Mailing Address - Phone:806-353-1800
Mailing Address - Fax:806-351-2216
Practice Address - Street 1:2 CARE CIR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-2118
Practice Address - Country:US
Practice Address - Phone:806-353-1800
Practice Address - Fax:806-351-2216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3355208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167583701Medicaid
TX00907WMedicare ID - Type Unspecified
TXG32164Medicare UPIN