JEFFERSON T. MILEY, M.D.,P.A.
Radiology at Mopac Expy, Austin, TX

License number
Texas 103329
Category
Neurology
Type
Neurology
License number
Texas N5870
Category
Psychiatric
Type
Vascular Neurology
License number
Texas N5870
Category
Radiology
Type
Vascular & Interventional Radiology
Owner
Name: JEFFERSON THAYER MILEY M.D.
Title: OWNER
Phone: (512) 617-6767
Address
Address
12180 N Mo Pac Expy STE B, Austin, TX 78758
National Provider ID: 1174834659
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JEFFERSON T. MILEY, M.D.,P.A. at bizstanding.com

JEFFERSON T. MILEY, M.D., PA

1400 N Interstate 35 #300, Austin, TX 78701

Status:
Inactive
Doing business as:
Jefferson T. Miley, M.D., PA
Registration:
Jun 10, 2010
State ID:
0801279966
Business type:
Professional Association
Director, Member, Presidents:
Gina Villarreal Secretary, Treasurer, Vice-President, inactive,Maya Miley Secretary, Treasurer, Vice-President, inactive,Jefferson T. Miley Director, Member, President, inactive
Agent:
Jefferson Thayer Miley,1124 Elder Cir, Austin, TX 78733 (Physical)
TIN:
32042023385

Radiology licenses in Texas










Other Doctors licenses in Texas