Provider Demographics
NPI:1902331747
Name:SPIOTTO, ERNEST ANTHONY (MD)
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:ANTHONY
Last Name:SPIOTTO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E PALM VALLEY BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3043
Mailing Address - Country:US
Mailing Address - Phone:855-609-0013
Mailing Address - Fax:
Practice Address - Street 1:505 E PALM VALLEY BLVD STE 240
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3043
Practice Address - Country:US
Practice Address - Phone:855-609-0013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43015044062084P0800X
390200000X
TXU73622084P0800X
ARE-145462084P0800X
MS295542084P0800X
TN635912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program