Provider Demographics
NPI:1346261542
Name:SON, NEAL N (DC)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:N
Last Name:SON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5904 CHAPEL HILL BLVD
Mailing Address - Street 2:STE. 210
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5925
Mailing Address - Country:US
Mailing Address - Phone:972-267-5998
Mailing Address - Fax:972-267-2466
Practice Address - Street 1:5904 CHAPEL HILL BLVD
Practice Address - Street 2:STE. 210
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5925
Practice Address - Country:US
Practice Address - Phone:972-267-5998
Practice Address - Fax:972-267-2466
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8421111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU94822Medicare UPIN
TX609810Medicare ID - Type Unspecified