Healthcare Provider Details

I. General information

NPI: 1710108832
Provider Name (Legal Business Name): STEPHEN R. NEECE, MD, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 08/16/2022
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 WINDHAVEN PKWY STE 145
PLANO TX
75093-8198
US

IV. Provider business mailing address

9 MEDICAL PKWY STE 108
FARMERS BRANCH TX
75234-7868
US

V. Phone/Fax

Practice location:
  • Phone: 972-803-8270
  • Fax: 888-689-4268
Mailing address:
  • Phone: 972-803-8270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberE1910
License Number StateTX

VIII. Authorized Official

Name: STEPHEN R. NEECE
Title or Position: PRESIDENT
Credential: MD
Phone: 972-334-0300