Mallory P Neill (NPI# 1013281955, PAC ID# 8820251705) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1013281955 |
| PAC ID by PECOS | 8820251705 |
| Professional Enrollment ID | I20120514000512 |
| Full Name | Mallory P Neill |
| Organization Legal Name | CLINICAL NEUROSCIENCE SERVICES PLLC |
| Address |
8441 State Hwy 47 4300 Bryan TX 77807-3235 |
| Phone Number | 9797745021 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1052557360 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450011 | CHI ST JOSEPH HEALTH |
| 451303 | LIMESTONE MEDICAL CENTER |
| 670088 | BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI |
| Address | Phone | Organization |
|---|---|---|
| 2801 Franciscan Dr, Bryan, TX 77802-2544 | ST JOSEPH REGIONAL HEALTH CENTER | |
| 8441 State Hwy 47, Suite 4300, Bryan, TX 77807-3235 | 9797768895 | ST JOSEPH REGIONAL HEALTH CENTER |
| 8441 State Hwy 47 4300, Bryan, TX 77807-3235 | 9797745021 | CLINICAL NEUROSCIENCE SERVICES PLLC |
| Organization Legal Name | CLINICAL NEUROSCIENCE SERVICES PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan A Friedman | Neurosurgery | Clinical Neuroscience Services Pllc | 8441 State Hwy 47 4300, Bryan, TX 77807-3235 |
| Morgan Kimberly Shipley | Physician Assistant | Clinical Neuroscience Services Pllc | 8441 State Hwy 47 4300, Bryan, TX 77807-3235 |
| Genevieve Lois Gourlay | Physician Assistant | Clinical Neuroscience Services Pllc | 8441 State Hwy 47 4300, Bryan, TX 77807-3235 |
| Street Address |
8441 STATE HWY 47 4300 |
| City | BRYAN |
| State | TX |
| Zip | 77807-3235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan A Friedman | Neurosurgery | Clinical Neuroscience Services Pllc | 8441 State Hwy 47 4300, Bryan, TX 77807-3235 |
| Morgan Kimberly Shipley | Physician Assistant | Clinical Neuroscience Services Pllc | 8441 State Hwy 47 4300, Bryan, TX 77807-3235 |
| Genevieve Lois Gourlay | Physician Assistant | Clinical Neuroscience Services Pllc | 8441 State Hwy 47 4300, Bryan, TX 77807-3235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judy J Hughes | Optometry | 643 N Harvey Mitchell Pkwy, Bryan, TX 77807-1012 | |
| Ume Haney Kakwan | Family Medicine | St Joseph Regional Health Center | 3989 N Shore Dr, Chi St Joseph Health Maturewell, Bryan, TX 77807-1491 |
| Cheryl D Foster | Nurse Practitioner | St Joseph Regional Health Center | 3989 N Shore Dr, Chi St Joseph Health Maturewell, Bryan, TX 77807-1491 |
| Leena Kodali | Internal Medicine | St Joseph Regional Health Center | 1612 W Villa Maria Rd, 130 Chi St Joseph Health Primary Care, Bryan, TX 77807-2310 |
| Nanette Reyes Dacumos | Family Medicine | St Joseph Regional Health Center | 1612 W Villa Maria Rd, 130 Chi St Joseph Health Primary Care, Bryan, TX 77807-2310 |
| Patricia Sammarelli | Family Medicine | St Joseph Regional Health Center | 1612 W Villa Maria Rd, 130 Chi St Joseph Health Primary Care, Bryan, TX 77807-2310 |
| Jason Hoover | Neurosurgery | St Joseph Regional Health Center | 8441 State Hwy 47, Suite 4300, Bryan, TX 77807-3235 |
| Leonide Gerard Toussaint | Neurosurgery | St Joseph Regional Health Center | 8441 State Hwy 47, Suite 4300, Bryan, TX 77807-3235 |
| Anne Marie Eschberger | Family Medicine | Scott and White Clinic | 2612 W Villa Maria Rd, Baylor Scott and White Clinic Bryan, Bryan, TX 77807-4867 |
| Kay Gyllis Head | Registered Dietitian Or Nutrition Professional | 2006 Turning Leaf Dr, Bryan, TX 77807-5117 | |
| Find all physicians in zip 77807 | |||
| City | BRYAN |
| Zip Code | 77807 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BRYAN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mallory P Neill.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.