Provider Demographics
NPI:1043259112
Name:NEAL, THOMAS F (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:F
Last Name:NEAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3621 22ND ST
Mailing Address - Street 2:STE 300
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1301
Mailing Address - Country:US
Mailing Address - Phone:806-792-5331
Mailing Address - Fax:806-792-9417
Practice Address - Street 1:3621 22ND ST
Practice Address - Street 2:STE 300
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1301
Practice Address - Country:US
Practice Address - Phone:806-792-5331
Practice Address - Fax:806-792-9417
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8085207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88680XOtherBC/BS
TX110339201Medicaid
TX040016968OtherRAILROAD MEDICARE
TX8F3578Medicare PIN
TX040016968OtherRAILROAD MEDICARE
TX00EM38Medicare PIN