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Individual

DR. MARCIA RANNEFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
730 WEST STASSNEY, SUITE 110, AUSTIN, TX 78745
(512) 744-6020
(512) 485-1294
Mailing address
6705 HWY 290 WEST, SUITE C-1, AUSTIN, TX 78735
(512) 892-7200
(512) 892-7205

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L3445
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152283103
TX
01
8P1407
BLUE CROSS
TX
Enumeration date
04/10/2006
Last updated
02/22/2010
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