Search › Texas › 174400000X
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 PaInferred 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