Individual
ROMAN V PETROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2280 GULF FWY S, LEAGUE CITY, TX 77573-5143
(832) 505-4000
Mailing address
PO BOX 650859, DEPT. 710, DALLAS, TX 75265-0859
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
T8915
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD440971
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
T8915
TX
Other
Enumeration date
08/23/2006
Last updated
11/11/2022
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