Organization · Type 2 NPI

Ronald E. Manicom, Md, PA

Specialist · Lakeway, TX

NPI number 1891820106 Active

Practice location

1200 Lakeway Dr, Suite 8
Lakeway, TX 78734-4474

Fax (512) 248-9012

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 1891820106

Ronald E. Manicom, Md, PA's National Provider Identifier is 1891820106, issued on Feb 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lakeway, TX. The record was last updated on Nov 20, 2007.