Provider Demographics
NPI:1104803527
Name:MCNEIR, DAVID G (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:MCNEIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 S COULTER ST STE 413
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1766
Mailing Address - Country:US
Mailing Address - Phone:806-677-7952
Mailing Address - Fax:806-353-6081
Practice Address - Street 1:1301 S COULTER ST STE 413
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1766
Practice Address - Country:US
Practice Address - Phone:806-677-7952
Practice Address - Fax:806-353-6081
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-28
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3355208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100149510BMedicaid
TX167583701Medicaid
P00091485OtherRR MEDICARE
8C0225Medicare ID - Type Unspecified
TX167583701Medicaid