Individual
DR. ENID SAMARA ROMANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1141 KINWEST PKWY, SUITE 100, IRVING, TX 75063-0100
(214) 239-2222
(214) 239-2223
Mailing address
1141 KINWEST PKWY, SUITE 100, IRVING, TX 75063-0100
(214) 239-2222
(214) 239-2223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K9890
TX
207R00000X
Internal Medicine Physician
K9890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146657504
—
TX
Enumeration date
07/14/2006
Last updated
02/04/2020
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