Provider Demographics
NPI:1295016152
Name:DON M. O'NEAL, M.D., P.A.
Entity Type:Organization
Organization Name:DON M. O'NEAL, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:O'NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-439-4408
Mailing Address - Street 1:1402 MEDICAL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-2199
Mailing Address - Country:US
Mailing Address - Phone:903-439-4408
Mailing Address - Fax:903-885-7126
Practice Address - Street 1:1402 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-2199
Practice Address - Country:US
Practice Address - Phone:903-439-4408
Practice Address - Fax:903-885-7126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2769207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty