Individual
MR. JAIME ROMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4708 ALLIANCE BLVD STE 150, PLANO, TX 75093-5339
(972) 596-7801
(972) 596-9307
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08211
TX
363AM0700X
Medical Physician Assistant
PA08211
TX
363AM0700X
Medical Physician Assistant
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317966507
—
TX
Enumeration date
01/08/2013
Last updated
10/13/2022
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