Individual
JOSE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5501 S EXPRESSWAY 77, HARLINGEN, TX 78550-3213
(361) 985-1221
(361) 985-1295
Mailing address
PO BOX 201437, DALLAS, TX 75320-1437
(361) 985-1221
(361) 985-1295
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
698583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166742001
—
TX
05
—
166742002
—
TX
01
—
88926U
BCBS
TX
Enumeration date
11/03/2006
Last updated
01/23/2009
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