MEDICARE: JAMES E PERRONE CP, LPA

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	224P00000X	Prosthetist

General Provider Information

NPI Number	:	1497988091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES E PERRONE CP, LPA

Provider Business Mailing Address
First Line	:	555 ROUND ROCK WEST DR
Second Line	:	SUITE 100 D
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5052
Country	:	US
Telephone Number	:	512-341-3700
Fax Number	:	512-341-3738

Provider Business Practice Location Address
First Line	:	555 ROUND ROCK WEST DR
Second Line	:	SUITE 100 D
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5052
Country	:	US
Telephone Number	:	512-341-3700
Fax Number	:	512-341-3738

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

Provider Enumeration Date	:	08/29/2009
Last Update Date	:	08/28/2014

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