Provider Demographics
NPI:1922063767
Name:MCNEAL, JERMAINE (CST)
Entity Type:Individual
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First Name:JERMAINE
Middle Name:
Last Name:MCNEAL
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Gender:M
Credentials:CST
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Mailing Address - Street 1:520 BLOSSOM ST
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4210
Mailing Address - Country:US
Mailing Address - Phone:281-332-9537
Mailing Address - Fax:281-332-1560
Practice Address - Street 1:7401 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4509
Practice Address - Country:US
Practice Address - Phone:713-799-2300
Practice Address - Fax:713-794-3395
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist