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1619170024

NPI Code Detail

MEDICARE: DR. JAMES RICHARD NEINER MD

MEDICARE: DR. JAMES RICHARD NEINER 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	207N00000X	Dermatology Physician	Q4224	TX
2	207NS0135X	Procedural Dermatology Physician	Q4224	TX
3	207ND0101X	MOHS-Micrographic Surgery Physician	Q4224	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
2	390377502	OTHER	TX	CSHCN

General Provider Information

NPI Number	:	1619170024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES RICHARD NEINER MD

Provider Business Mailing Address
First Line	:	3315 FALLING BRK
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4432
Country	:	US
Telephone Number	:	210-705-9433
Fax Number	:

Provider Business Practice Location Address
First Line	:	1314 E SONTERRA BLVD STE 2201
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4287
Country	:	US
Telephone Number	:	210-496-5792
Fax Number	:	210-496-7601

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

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	04/05/2025

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Directions to “ DR. JAMES RICHARD NEINER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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