Provider Demographics
NPI:1114925401
Name:NEEL, MICHAEL FOSTER (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:FOSTER
Last Name:NEEL
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 1:106 S PARK DR
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5918
Mailing Address - Country:US
Mailing Address - Phone:325-641-8890
Mailing Address - Fax:325-641-8899
Practice Address - Street 1:106 S PARK DR
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5918
Practice Address - Country:US
Practice Address - Phone:325-641-8890
Practice Address - Fax:325-641-8899
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9137207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H07065Medicare UPIN
8A2160Medicare ID - Type Unspecified