Provider Demographics
NPI:1528412871
Name:MCNEIL, RAQUEL (DO)
Entity Type:Individual
Prefix:DR
First Name:RAQUEL
Middle Name:
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3066 E COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78220-1013
Mailing Address - Country:US
Mailing Address - Phone:210-233-7063
Mailing Address - Fax:210-625-5689
Practice Address - Street 1:10002 WESTOVER BLF
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-3353
Practice Address - Country:US
Practice Address - Phone:210-233-7000
Practice Address - Fax:210-257-5100
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10056549208000000X
TXS2845208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics