Provider Demographics
NPI:1629344759
Name:FRANCISCO X NEIRA MD PA
Entity Type:Organization
Organization Name:FRANCISCO X NEIRA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:XAVIER
Authorized Official - Last Name:NEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-956-0854
Mailing Address - Street 1:3630 ALMAZAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:DALLA
Mailing Address - State:TX
Mailing Address - Zip Code:75220-4929
Mailing Address - Country:US
Mailing Address - Phone:214-956-0854
Mailing Address - Fax:214-956-7290
Practice Address - Street 1:3630 ALMAZAN DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-4929
Practice Address - Country:US
Practice Address - Phone:214-956-0854
Practice Address - Fax:214-956-7290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5165261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG67139Medicare UPIN