Provider Demographics
NPI:1508986217
Name:NEEL, RICHARD L (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:L
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 1:1501 HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009-2739
Mailing Address - Country:US
Mailing Address - Phone:830-538-3550
Mailing Address - Fax:830-538-3553
Practice Address - Street 1:1501 HOUSTON ST
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009-2739
Practice Address - Country:US
Practice Address - Phone:830-538-3550
Practice Address - Fax:830-538-3553
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG36392083X0100X, 207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A4052OtherGROUP MEDICARE NUMBER
TXG3639OtherMEDICAL LICENSE
TX156607701Medicaid
TXH61047Medicare UPIN