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Individual

DR. JAIME LUIS ROMAN-PAVAJEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1331 W GRAND PKWY N, SUITE 330, KATY, TX 77493-2710
(281) 693-5454
Mailing address
PO BOX 128, BELLAIRE, TX 77402-0128
(281) 833-3330
(281) 833-3323

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
M7580
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205092343
GROUP NPI
TX
01
1396943296
INDIVIDUAL NPI
TX
05
1980880
TX
01
M7580
TEXAS MEDICAL LICENSE
TX
Enumeration date
07/03/2007
Last updated
10/14/2010
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