Provider Demographics
NPI:1568434462
Name:NEAL T FOLEY M.D PA
Entity Type:Organization
Organization Name:NEAL T FOLEY M.D PA
Other - Org Name:AUSTIN VEIN AND VASCULAR CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:T
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-732-7370
Mailing Address - Street 1:5656 BEE CAVES RD
Mailing Address - Street 2:H-201
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5280
Mailing Address - Country:US
Mailing Address - Phone:512-732-7370
Mailing Address - Fax:512-732-8332
Practice Address - Street 1:5656 BEE CAVES RD
Practice Address - Street 2:H-201
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5280
Practice Address - Country:US
Practice Address - Phone:512-732-7370
Practice Address - Fax:512-732-8332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-03
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF04642086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0042LTOtherBCBS OF TEXAS GROUP #
TX169091901Medicaid
TX169091901Medicaid