Provider Demographics
NPI:1720076094
Name:FOLEY, NEAL THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:THOMAS
Last Name:FOLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3944 RANCH ROAD 620 S BLDG 8 STE 207
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738
Mailing Address - Country:US
Mailing Address - Phone:512-732-7370
Mailing Address - Fax:512-732-8332
Practice Address - Street 1:3944 RANCH ROAD 620 S BLDG 8 STE 207
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738
Practice Address - Country:US
Practice Address - Phone:512-732-7370
Practice Address - Fax:512-732-8332
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF-04642086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128178406Medicaid
TX128178406Medicaid
TXTXB107278Medicare PIN