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Organization

FEDERICO ROMAN NG, MDPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FEDERICO ROMAN NG M.D. (OWNER)
(210) 614-2828
Entity
Organization

Contact information

Practice address
7922 EWING HALSELL DR, SUITE 270, SAN ANTONIO, TX 78229-3786
(210) 614-2828
(210) 614-2558
Mailing address
7922 EWING HALSELL DR, SUITE 270, SAN ANTONIO, TX 78229-3786
(210) 614-2828
(210) 614-2558

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J6623
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528061488
NPI-INDIVIDUAL
TX
Enumeration date
04/11/2012
Last updated
04/11/2012
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