Provider Demographics
NPI:1417848607
Name:NEAL, TAKEYLA ALEXISHA
Entity type:Individual
Prefix:
First Name:TAKEYLA
Middle Name:ALEXISHA
Last Name:NEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7407 RIVER PINES DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-3233
Mailing Address - Country:US
Mailing Address - Phone:346-471-1033
Mailing Address - Fax:
Practice Address - Street 1:7407 RIVER PINES DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-3233
Practice Address - Country:US
Practice Address - Phone:346-471-1033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy