Healthcare Provider Details

I. General information

NPI: 1720076094
Provider Name (Legal Business Name): NEAL THOMAS FOLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3944 RANCH ROAD 620 S BLDG 6 STE 201
AUSTIN TX
78738
US

IV. Provider business mailing address

3944 RANCH ROAD 620 S BLDG 6 STE 201
AUSTIN TX
78738
US

V. Phone/Fax

Practice location:
  • Phone: 512-366-8568
  • Fax: 512-318-2272
Mailing address:
  • Phone: 512-366-8568
  • Fax: 512-318-2272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberF-0464
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: