Provider Demographics
NPI:1962694877
Name:RONALD B SHAPIRO MD PA
Entity type:Organization
Organization Name:RONALD B SHAPIRO MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-320-8388
Mailing Address - Street 1:900 E 30TH ST STE 311
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-3378
Mailing Address - Country:US
Mailing Address - Phone:512-320-8388
Mailing Address - Fax:512-320-8398
Practice Address - Street 1:900 E 30TH ST STE 311
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3378
Practice Address - Country:US
Practice Address - Phone:512-320-8388
Practice Address - Fax:512-320-8398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric CardiologyGroup - Single Specialty