MEDICARE: MR. DAVID FRANK O'NEAL L.C.S.W.

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	1041C0700X	Clinical Social Worker	37193	TX

General Provider Information

NPI Number	:	1811939630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID FRANK O'NEAL L.C.S.W.

Provider Business Mailing Address
First Line	:	6413 DORCHESTER TRL
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-4510
Country	:	US
Telephone Number	:	817-368-3210
Fax Number	:	817-404-2298

Provider Business Practice Location Address
First Line	:	6413 DORCHESTER TRL
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-4510
Country	:	US
Telephone Number	:	817-368-3210
Fax Number	:	817-404-2298

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	07/08/2007

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