SearchTexas174400000X

Ronald Manicom, M.D

NPI 1427042159 · on the registry since 2005

Practice

Address
711 W 38th St
D-4
Austin, TX 78705
Phone
(512) 454-9627
Fax
(512) 454-6310
Organisation at this address
Btdi Jv, Llp
Metro Periodontics
Austin Open Mri Lp
Djay Management Llc
Symphony Healthcare Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
96

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-01-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas