Thaera, Greg
Thaera, Greg is an individual health care provider with primary practice located at 12221 N Mopac Expy , Austin TX 78758-2401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Thaera, Greg can be contacted via phone (512) 901-4011.Contact Information
Primary practice address
12221 N Mopac Expy
Austin TX 78758-2401
Phone: (512) 901-4011
Fax: (512) 901-3911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | P5743 | Texas |
Profile Details
| NPI number | 1710199724 |
|---|---|
| LBN Legal business name | Thaera, Greg |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jan 25th, 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 | 1710199724 | NPPES |
| Texas | Other | P01330570 | RRMC PTAN |
| Texas | MEDICAID | 323968301 | RRMC PTAN |
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