Active NPI
P Mark Neal MD LLC
- Specialist
- Houma, LA
National Provider Identifier
1104180728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 202640
- Legal business name
- P MARK NEAL MD LLC
- Practice address
- 12 Professional Dr
Houma, LA 70360-4046 - Phone
- (985) 868-1810
- Fax
- (985) 876-3670
- NPI assigned
- Jun 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- P Mark Neal, MD
- Title
- Sole Proprietor
- Phone
- (985) 868-1810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 202640 | LA | Primary |
Addresses
Primary practice location
12 Professional Dr
Houma, LA 70360-4046
Mailing address
12 Professional Dr
Houma, LA 70360-4046
Phone (985) 868-1810
National Provider Directory
National Provider DirectoryLocations
12 Professional Dr
Houma, LA 70360
Phone (601) 918-1038
1713 6th St
Morgan City, LA 70380
Phone (985) 385-5077
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Houma, LA
- NPI 1396936654
-
- Dermatology Physician
- Houma, LA
- NPI 1417910464
-
- Dermatology Physician
- Vicksburg, MS
- NPI 1467418152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499040000000",
"number": "1104180728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 PROFESSIONAL DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703604046",
"telephone_number": "985-868-1810",
"fax_number": "985-876-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 PROFESSIONAL DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703604046",
"telephone_number": "985-868-1810",
"fax_number": "985-876-3670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P MARK NEAL MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-28",
"last_updated": "2017-07-03",
"status": "A",
"authorized_official_last_name": "NEAL",
"authorized_official_first_name": "P",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "985-868-1810",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "LA",
"license": "202640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.