Individual
JERRY ROMANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5012 TRINITY LANDING DR W, FORT WORTH, TX 76132-3736
(817) 701-8642
Mailing address
5012 TRINITY LANDING DR W, FORT WORTH, TX 76132-3736
(817) 701-8642
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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