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Individual

MRS. EMILY ELIZABETH ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(832) 969-0833
Mailing address
906 ALLEN ST APT 1631, DALLAS, TX 75204-5888
(832) 969-0833

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07640
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300011901
TX
Enumeration date
01/12/2012
Last updated
10/08/2012
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