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RON MANSOLO MD PA NPI 1679574685


NPI Information

NPI: 1679574685
Provider Name: RON MANSOLO MD PA

Doing Business As: LEANDER PRIMARY CARE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
902 CRYSTAL FALLS PKWY
LEANDER, TX
ZIP 78641
Phone: (512) 259-2222
Get Directions

RON MANSOLO MD PA is a general practice in Leander, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RON MANSOLO MD PA NPI is 1679574685. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Leander Primary Care.

The provider's business location address is:

902 CRYSTAL FALLS PKWY
LEANDER, TX
ZIP 78641-646
Phone: (512) 259-2222
Fax: (512) 259-2290

The provider's authorized official is Jennifer G Passons .
The authorized official title is Office Manager and has the following contact phone number (512) 968-7570.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 3/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100361RMEDICARE PINTEXAS
20039GHOTHERTEXASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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