Provider Demographics
NPI:1053197244
Name:NEAL, SHELBY HANA (MS, GC)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:HANA
Last Name:NEAL
Suffix:
Gender:F
Credentials:MS, GC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2380 S MACGREGOR WAY APT 415
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-1168
Mailing Address - Country:US
Mailing Address - Phone:850-982-8566
Mailing Address - Fax:
Practice Address - Street 1:2380 S MACGREGOR WAY APT 415
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-1168
Practice Address - Country:US
Practice Address - Phone:850-982-8566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS