Organization
JEFFERSON T. MILEY, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON THAYER MILEY M.D. (OWNER)
(512) 617-6767
Entity
Organization
Contact information
Practice address
12180 N MOPAC EXPY, STE B, AUSTIN, TX 78758-2909
(512) 617-6767
(512) 617-5598
Mailing address
12180 N MOPAC EXPY, STE B, AUSTIN, TX 78758-2909
(512) 617-6767
(512) 617-5598
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
103329
MN
2084V0102X
Vascular Neurology Physician
N5870
TX
2085R0204X
Vascular & Interventional Radiology Physician
N5870
TX
Other
Enumeration date
06/29/2010
Last updated
11/15/2010
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