Provider Demographics
NPI:1730133703
Name:MCNEELY, PATRICK MICHAEL (PT)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:MICHAEL
Last Name:MCNEELY
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:2502 W FREDDY GONZALEZ DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7387
Mailing Address - Country:US
Mailing Address - Phone:956-381-1600
Mailing Address - Fax:956-381-1616
Practice Address - Street 1:2502 W FREDDY GONZALEZ DR
Practice Address - Street 2:SUITE B
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7387
Practice Address - Country:US
Practice Address - Phone:956-381-1600
Practice Address - Fax:956-381-1616
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1125318225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1125318OtherLICENSE NUMBER