MEDICARE: DR. ROBERT THOMAS NEAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	F4321	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700848025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT THOMAS NEAL MD

Provider Business Mailing Address
First Line	:	8401 JACK FINNEY BLVD
Second Line	:
City	:	GREENVILLE
State	:	TX
Zip	:	75402
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	335 SCENIC DR
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75077
Country	:	US
Telephone Number	:	972-679-7735
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	05/13/2008

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