MEDICARE: ALLISON F NEIL CP, LP

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	224P00000X	Prosthetist

General Provider Information

NPI Number	:	1518190917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON F NEIL CP, LP

Provider Business Mailing Address
First Line	:	3001 BEE CAVES RD STE 130
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-5590
Country	:	US
Telephone Number	:	512-389-3210
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 BEE CAVES RD STE 130
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-5590
Country	:	US
Telephone Number	:	512-389-3210
Fax Number	:

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

Provider Enumeration Date	:	09/01/2009
Last Update Date	:	05/10/2012

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