Provider Demographics
NPI:1427058908
Name:NEELY, JOE B (MD)
Entity type:Individual
Prefix:
First Name:JOE
Middle Name:B
Last Name:NEELY
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:8325 WALNUT HILL LN
Mailing Address - Street 2:SUITE 225
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4208
Mailing Address - Country:US
Mailing Address - Phone:214-691-3535
Mailing Address - Fax:214-691-1044
Practice Address - Street 1:8325 WALNUT HILL LN
Practice Address - Street 2:SUITE 225
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4208
Practice Address - Country:US
Practice Address - Phone:214-691-3535
Practice Address - Fax:214-691-1044
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2025-04-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ1121208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ1121OtherMEDICAL DOCTOR