Individual
JORGE L ROMAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6800 N MACARTHUR BLVD, IRVING, TX 75039
(972) 969-2000
Mailing address
1820 PRESTON PARK BLVD, 1825, PLANO, TX 75093-3656
(972) 867-7862
(972) 612-1623
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K7878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44937302
—
TX
01
—
8D8220
COLLINCOUNTY PTAN
TX
Enumeration date
05/04/2006
Last updated
09/27/2023
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