Miles, Stacia C.
Miles, Stacia C. is an individual health care provider with primary practice located at 1250 S Capital Of Texas Hwy Bldg 3 Fl 1, West Lake Hills TX 78746-6446. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Miles, Stacia C. can be contacted via phone (512) 334-2401.Contact Information
Primary practice address
1250 S Capital Of Texas Hwy Bldg 3 Fl 1
West Lake Hills TX 78746-6446
Phone: (512) 334-2401
Fax: (512) 334-2491
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M3645 | Texas |
Profile Details
NPI number | 1588614929 |
---|---|
LBN Legal business name | Miles, Stacia C. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Feb 10th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588614929 | NPPES |
Texas | MEDICAID | 183043201 |
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