Miles, Stacia C.

Miles, Stacia C. is an individual health care provider with primary practice located at 1250 S Capital Of Texas Hwy Bldg 3 Fl 1, West Lake Hills TX 78746-6446. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Miles, Stacia C. can be contacted via phone (512) 334-2401.

Contact Information

Primary practice address
1250 S Capital Of Texas Hwy Bldg 3 Fl 1 West Lake Hills TX 78746-6446
Phone: (512) 334-2401
Fax: (512) 334-2491
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M3645 Texas

Profile Details

NPI number 1588614929
LBN Legal business name Miles, Stacia C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 10th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588614929 NPPES
Texas MEDICAID 183043201

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