Organization Active NPI

Neal'S Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Tyler, TX
National Provider Identifier
1679748131
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
507 Issued in TX
Legal business name
NEAL'S PROSTHETICS, INC.
Practice address
701 Turtle Creek Dr
Tyler, TX 75701-1834
Phone
(903) 595-2229
Fax
(903) 595-0138
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert L Neal, BS,CP, L.P.
Title
President/Prosthetist
Phone
(903) 595-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 507 TX Primary

Addresses

Primary practice location

701 Turtle Creek Dr
Tyler, TX 75701-1834

Mailing address

701 Turtle Creek Dr
Tyler, TX 75701-1834
Phone (903) 595-2229

Other identifiers 1

IdentifierTypeStateIssuer
087140201MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1679748131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011834",
            "telephone_number": "903-595-2229",
            "fax_number": "903-595-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011834",
            "telephone_number": "903-595-2229",
            "fax_number": "903-595-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL'S PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/PROSTHETIST",
        "authorized_official_telephone_number": "903-595-2229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS,CP, L.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087140201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.