Healthcare Provider Details

I. General information

NPI: 1811257801
Provider Name (Legal Business Name): CHRISTIE MILEUR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2012
Last Update Date: 06/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 MEDICAL ARTS ST BUILDING 3
AUSTIN TX
78705-3376
US

IV. Provider business mailing address

2911 MEDICAL ARTS ST BUILDING 3
AUSTIN TX
78705-3376
US

V. Phone/Fax

Practice location:
  • Phone: 512-391-0175
  • Fax: 512-476-4078
Mailing address:
  • Phone: 512-391-0175
  • Fax: 512-476-4078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberP4206
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: