Provider Demographics
NPI:1689781668
Name:DALRYMPLE, NEAL CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:CHRISTOPHER
Last Name:DALRYMPLE
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 1:8401 DATAPOINT DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5900
Mailing Address - Country:US
Mailing Address - Phone:210-616-7700
Mailing Address - Fax:210-616-7799
Practice Address - Street 1:8401 DATAPOINT DR STE 600
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5907
Practice Address - Country:US
Practice Address - Phone:210-616-7700
Practice Address - Fax:210-616-7799
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK70032085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK7003OtherTEXAS LICENSE
TXP00466431OtherRAILROAD MEDICARE
TX0440919-04OtherMEDICAID - STRIC
TX8K3589OtherMEDICARE - STRIC
TXP00466436OtherRAILROAD MEDICARE
TX0440919-05Medicaid
TX0440919-06Medicaid
TX8K3590Medicare PIN