Organization
ANTONIO ROMAN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO ROMAN MD (PRESIDENT)
(214) 969-2953
Entity
Organization
Contact information
Practice address
6116 N CENTRAL EXPY, SUITE 915, DALLAS, TX 75206-5162
(214) 969-2953
(214) 363-2899
Mailing address
110 W SANDY LAKE RD STE 102, COPPELL, TX 75019-2529
(972) 315-5249
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J7286
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00437X
MEDICARE GROUP
—
01
—
1124009543
ANTONIO ROMAN INDIVIDUAL NPI
TX
01
—
168921801
MEDICAID GROUP
TX
01
—
8C6525
MEDICARE
—
Enumeration date
11/26/2007
Last updated
08/28/2008
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