Ronald Edward Manicom in Austin - Specialist
Ronald Edward Manicom - NPI 1427042159
Ronald Edward Manicom is a Specialist in Austin, Texas. Ronald Edward Manicom practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ronald Edward Manicom is 1427042159. The last update date is 2010-01-20.
Ronald Edward Manicom's current location address is 711 W 38th St, Austin, Texas. You can contact this provider via phone number 5124549627 and fax number 5124546310. The mailing address for Ronald Edward Manicom is 711 W 38th St, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Edward Manicom |
|---|---|
| Address | 711 W 38th St, Austin, Texas |
| Phone Number | 5124549627 |
| Fax Number | 5124546310 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1427042159 |
|---|---|
| Provider Enumeration Date | 2005-09-08 |
| Last Updated Date | 2010-01-20 |
Provider Mailing Address Detail
| Address | 711 W 38th St |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787051121 |
| Phone Number | 5124549627 |
| Fax Number | 5124546310 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | C9055 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180051801 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ronald Edward Manicom?
The Ronald Edward Manicom has been issued the NPI (National Provider Identifier) 1427042159 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ronald Edward Manicom?
The Ronald Edward Manicom is physically situated at 711 W 38Th St, in the city of Austin, state of TX, with the postal code 787051121.
What is Ronald Edward Manicom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ronald Edward Manicom is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1427042159 to Ronald Edward Manicom?
The Ronald Edward Manicom received its 1427042159 assignment from the Centers for Medicare & Medicaid Services on 2005-09-08.
As of what date was the information regarding Ronald Edward Manicom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ronald Edward Manicom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-20.