Individual
MICHAEL JOHN ROMANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18300 ST. JOHN DRIVE, NASSAU BAY, TX 77058-6302
(281) 333-8822
(281) 333-8857
Mailing address
3560 DELAWARE ST, SUITE 601-A, BEAUMONT, TX 77706-3067
(800) 258-2016
(409) 924-9696
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F7116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3718667
CIGNA
TX
01
—
4229658
AETNA
TX
01
—
82671B
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
08/23/2006
Last updated
07/08/2007
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