Richard Allen Nevill Jr., P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04937 Issued in TX

Practice address

12501 Judson Rd
Suite 102
Live Oak, TX 78233-4103

Phone

(210) 656-5100

Fax

(210) 656-5125

NPI assigned

Jun 26, 2006

Last updated

Aug 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Antonio Wound Care LLC

  dba San Antonio Wound Care

  • Clinic/Center
  • Live Oak, TX
  • NPI 1619502929
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1831126937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 JUDSON RD",
            "address_2": "SUITE 102",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334103",
            "telephone_number": "210-656-5100",
            "fax_number": "210-656-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 JUDSON RD",
            "address_2": "SUITE 102",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334103",
            "telephone_number": "210-656-5100",
            "fax_number": "210-656-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILL",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Klotz Nations, M.S., CCC-SLP
• Kayla Nazario
• Bridget Deborah Neeley
• Shawn C. Nessen, DO
• Neuropro of Texas (San Antonio Neurohospitalist Organization)
• Dung Nguyen, OD
• Huyen Thi Nguyen, M.D.
• Kevin Nguyen, DPT
• Tung Nguyen, M.D.
• Northeast Internal Medicine Associates,PA

• Physician Assistant in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.