Provider Demographics
NPI:1154431435
Name:MCNEIL, THOMAS LEE (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LEE
Last Name:MCNEIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:900 N PORTER AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071
Mailing Address - Country:US
Mailing Address - Phone:405-329-5255
Mailing Address - Fax:405-329-5244
Practice Address - Street 1:900 N PORTER AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071
Practice Address - Country:US
Practice Address - Phone:405-329-5255
Practice Address - Fax:405-329-5244
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK173362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
G14403Medicare UPIN