Individual provider · Type 1 NPI

Ronald Edward Manicom, MD

Specialist · Austin, TX

NPI number 1427042159 Active · reactivated Mar 31, 2006

Practice location

711 W 38th St, D-4
Austin, TX 78705-1121

Call (512) 454-9627 Map

Fax (512) 454-6310

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XC9055 (TX)

Specialist: 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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About NPI 1427042159

Ronald Edward Manicom, MD's National Provider Identifier is 1427042159, issued on Sep 8, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Austin, TX. The record was last updated on Jan 20, 2010.