Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ronald E. Manicom, MD, PA

Organization Specialist · NPI 1891820106

Ronald E. Manicom, MD, PA is a Specialist in Lakeway, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 Lakeway Dr Ste 8
Lakeway, TX 78734-4474
Phone: (512) 248-9000
Fax: (512) 248-9012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence C9055 (TX)

Record details

NPI number1891820106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Fouss — Office Manager · (512) 248-9000
NPI enumeratedFebruary 23, 2007
Last updated in NPPESNovember 20, 2007
Mailing address1200 Lakeway Dr, Suite 8, Lakeway, TX 78734-4474

Other providers in Lakeway