Individual
DR. MICHAEL FERNANDO LENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 SETON PKWY, SUITE 302, ROUND ROCK, TX 78665-8002
(512) 324-4812
(512) 324-4728
Mailing address
4616 W HOWARD LN, AUSTIN, TX 78728-6300
(512) 324-8960
(512) 324-8906
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
J8639
TX
207RI0011X
Interventional Cardiology Physician
Primary
J8639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192863205
—
TX
05
—
192863206
—
TX
05
—
192863207
—
TX
05
—
192863208
—
TX
01
—
8CN860
BCBS
TX
01
—
8ET185
BCBS
TX
01
—
P00822021
RAILROAD MEDICARE
TX
01
—
P01364918
RAILROAD MEDICARE
TX
Enumeration date
06/20/2005
Last updated
06/30/2015
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