1568434462 NPI number — NEAL T FOLEY M.D PA

Table of content: (NPI 1568434462)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568434462 NPI number — NEAL T FOLEY M.D PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEAL T FOLEY M.D PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568434462
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5656 BEE CAVES RD
Provider Second Line Business Mailing Address:
H-201
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78746-5280
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-732-7370
Provider Business Mailing Address Fax Number:
512-732-8332

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5656 BEE CAVES RD
Provider Second Line Business Practice Location Address:
H-201
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78746-5280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-732-7370
Provider Business Practice Location Address Fax Number:
512-732-8332
Provider Enumeration Date:
02/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FOLEY
Authorized Official First Name:
NEAL
Authorized Official Middle Name:
T.
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
512-732-7370

Provider Taxonomy Codes

  • Taxonomy code: 2086S0129X , with the licence number:  F0464 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0042LT . This is a "BCBS OF TEXAS GROUP #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 169091901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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