Provider Demographics
NPI:1922077270
Name:NEAL, WILLIAM W (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:W
Last Name:NEAL
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 1:915 GREEN TREE LN
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-2923
Mailing Address - Country:US
Mailing Address - Phone:214-769-0576
Mailing Address - Fax:
Practice Address - Street 1:1230 BROWN TRL
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-8028
Practice Address - Country:US
Practice Address - Phone:817-353-1230
Practice Address - Fax:817-920-6494
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4242207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8U1316OtherBCBS
TXP00281275OtherRAILROAD MEDICARE
TX037329202Medicaid
TX8U1316OtherBCBS
TX037329202Medicaid