MEDICARE: ROBERT M MINGEA III M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	H1154	TX
2	207RI0011X	Interventional Cardiology Physician	H1154	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8ET190	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	8DF128	OTHER	TX	BCBS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093798944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT M MINGEA III M.D.

Provider Business Mailing Address
First Line	:	1400 N IH 35
Second Line	:	SUITE 300
City	:	AUSTIN
State	:	TX
Zip	:	78701-1926
Country	:	US
Telephone Number	:	512-324-8300
Fax Number	:	512-324-8301

Provider Business Practice Location Address
First Line	:	209 S CHURCH ST
Second Line	:	SUITE A
City	:	LOCKHART
State	:	TX
Zip	:	78644-2713
Country	:	US
Telephone Number	:	512-376-2183
Fax Number	:	512-324-3449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	12/22/2014

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Directions to “ ROBERT M MINGEA III M.D.” Practice Location

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