Organization Active NPI

P Mark Neal MD LLC

  • Specialist
  • Houma, LA
National Provider Identifier
1104180728
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
202640 Issued in LA
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

Updated by the provider on Jul 3, 2017

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.