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NPI Code Detail

MEDICARE: EILEEN NEFF MD

MEDICARE: EILEEN NEFF 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
1208000000XPediatrics PhysicianL5485TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6P01697213OTHERTXRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38G3050OTHERTXBLUE CROSS
475-2616977-027OTHERTXTRICARE
5GA179OTHERTXBCBS

General Provider Information

NPI Number : 1831179829
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILEEN NEFF MD
Provider Business Mailing Address
First Line : PO BOX 846098
Second Line :
City : DALLAS
State : TX
Zip : 75284-6098
Country : US
Telephone Number : 903-324-6400
Fax Number :
Provider Business Practice Location Address
First Line : 706 TURTLE CREEK DR
Second Line :
City : TYLER
State : TX
Zip : 75701-1833
Country : US
Telephone Number : 903-595-3942
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 09/30/2016

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Directions to “ EILEEN NEFF MD” Practice Location

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