Provider Demographics
NPI:1073323713
Name:NEUDAY LLC
Entity type:Organization
Organization Name:NEUDAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:NICHOLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-642-0073
Mailing Address - Street 1:PO BOX 230
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-0230
Mailing Address - Country:US
Mailing Address - Phone:325-642-0073
Mailing Address - Fax:682-317-1553
Practice Address - Street 1:1450 W PLEASANT RUN RD STE 104
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-3740
Practice Address - Country:US
Practice Address - Phone:325-642-0073
Practice Address - Fax:682-317-1553
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEUDAY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-13
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty