Healthcare Provider Details

I. General information

NPI: 1962694877
Provider Name (Legal Business Name): RONALD B SHAPIRO MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E 30TH ST STE 311
AUSTIN TX
78705-3378
US

IV. Provider business mailing address

900 E 30TH ST STE 311
AUSTIN TX
78705-3378
US

V. Phone/Fax

Practice location:
  • Phone: 512-320-8388
  • Fax: 512-320-8398
Mailing address:
  • Phone: 512-320-8388
  • Fax: 512-320-8398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREA L HAWKINS
Title or Position: OFFICE MANAGER
Credential:
Phone: 512-320-8388