Individual
ROBERT M MINGEA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 S CHURCH ST, SUITE A, LOCKHART, TX 78644-2713
(512) 376-2183
(512) 324-3449
Mailing address
1400 N IH 35, SUITE 300, AUSTIN, TX 78701-1926
(512) 324-8300
(512) 324-8301
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
H1154
TX
207RI0011X
Interventional Cardiology Physician
Primary
H1154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128744306
—
TX
05
—
128744307
—
TX
05
—
128744308
—
TX
05
—
128744309
—
TX
01
—
8DF128
BCBS
TX
01
—
8ET190
BCBS
TX
Enumeration date
11/23/2005
Last updated
12/22/2014
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