Bryan T O'Neall in Lubbock - Physician Assistant
Bryan T O'Neall - NPI 1346223401
Bryan T O'Neall is a Physician Assistant in Lubbock, Texas. Bryan T O'Neall practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bryan T O'Neall is 1346223401. The last update date is 2019-07-09.
Bryan T O'Neall's current location address is 4515 Marsha Sharp Fwy, Lubbock, Texas. You can contact this provider via phone number 8067447223 and fax number 8067403325. The mailing address for Bryan T O'Neall is 4515 Marsha Sharp Fwy, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan T O'Neall |
|---|---|
| Address | 4515 Marsha Sharp Fwy, Lubbock, Texas |
| Phone Number | 8067447223 |
| Fax Number | 8067403325 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1346223401 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2019-07-09 |
Provider Mailing Address Detail
| Address | 4515 Marsha Sharp Fwy |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794072520 |
| Phone Number | 8067447223 |
| Fax Number | 8067403325 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | TX PA 02717 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7271774 | TX | AETNA - GRACE CLINIC | |
| 8AM633 | TX | BCBS - GRACE CLINIC | |
| 8L3991 | TX | MEDICARE PIN - GRACE CLINIC | |
| 161309100 | TX | FIRSTCARE - GRACE CLINIC | |
| 5892790001 | TX | MEDICARE NSC - GRACE CLINIC | |
| 161309100 | TX | TEAM CHOICE CORE - GRACE CLINI | |
| 1975187-01 | TX | -- |
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What is the unique 10-digit identification code assigned to Bryan T O'Neall by the Centers for Medicare & Medicaid Services?
The Bryan T O'Neall has been issued the NPI (National Provider Identifier) 1346223401, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the Bryan T O'Neall's area of specialization and corresponding taxonomy classification?
The Bryan T O'Neall's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
What is Bryan T O'Neall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bryan T O'Neall is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did the Bryan T O'Neall receive its 1346223401?
The Bryan T O'Neall was issued its 1346223401 on 2005-11-22, which is the date when the organization was assigned this unique identifier.
As of what date were the Bryan T O'Neall's details last updated?
The information pertaining to the Bryan T O'Neall, including its address, specialty, and other details, was most recently updated on 2019-07-09.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH