Miley, Jefferson Thayer
Miley, Jefferson Thayer is an individual health care provider with primary practice located at 1400 N Interstate 35 Ste 300, Austin TX 78701-1926. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Miley, Jefferson Thayer can be contacted via phone (512) 324-8300.Contact Information
Primary practice address
1400 N Interstate 35 Ste 300
Austin TX 78701-1926
Phone: (512) 324-8300
Fax: (512) 324-8301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | N5870 | Texas |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | N5870 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | N5870 | Texas |
Profile Details
| NPI number | 1922292259 |
|---|---|
| LBN Legal business name | Miley, Jefferson Thayer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Jan 29th, 2013 - about 11 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 | 1922292259 | NPPES |
| Texas | MEDICAID | 285129703 | |
| Texas | MEDICAID | TXB149044 | |
| Texas | MEDICAID | 285129702 |
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