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Organization
LEO VILLAROMAN, MD, PA
Active
Organization
LEO VILLAROMAN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO D VILLAROMAN MD (PRESIDENT)
(432) 687-6203
Entity
Organization
Contact information
Practice address
501 GOLDER AVE, SUITE 203, ODESSA, TX 79761-4411
(432) 687-6203
(432) 687-6299
Mailing address
3303 CRESTMONT DR, MIDLAND, TX 79707-4234
(432) 687-6203
(432) 687-6299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N1208
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TX
Enumeration date
11/06/2008
Last updated
01/13/2009
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