Individual
JIA WANG ROMITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-3433
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R3418
TX
2084A2900X
Neurocritical Care Physician
R3418
TX
Other
Enumeration date
04/29/2013
Last updated
11/07/2019
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