Provider Demographics
NPI:1023200383
Name:MCGAUGH, RONALD JR (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:MCGAUGH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:15004 AVERY RANCH BLVD
Mailing Address - Street 2:SUITE #105
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-4600
Mailing Address - Country:US
Mailing Address - Phone:512-528-7420
Mailing Address - Fax:512-528-7421
Practice Address - Street 1:15004 AVERY RANCH BLVD
Practice Address - Street 2:SUITE #105
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-4600
Practice Address - Country:US
Practice Address - Phone:512-528-7420
Practice Address - Fax:512-528-7421
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM6754207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX199262001Medicaid
TX199262001Medicaid