Provider Demographics
NPI:1811006000
Name:NEAVEL, CELIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CELIA
Middle Name:
Last Name:NEAVEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 N I H 35
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-2304
Mailing Address - Country:US
Mailing Address - Phone:512-478-4939
Mailing Address - Fax:512-320-0702
Practice Address - Street 1:2909 N I H 35
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-2304
Practice Address - Country:US
Practice Address - Phone:512-478-4939
Practice Address - Fax:512-320-0702
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0675207QA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138228508Medicaid
TX138228508Medicaid
81W123Medicare ID - Type Unspecified