Individual
ROMAR LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4056 TWIN CREEKS DR, FORT WORTH, TX 76244-8874
(817) 217-0769
Mailing address
4056 TWIN CREEKS DR, FORT WORTH, TX 76244-8874
(817) 217-0769
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
14574980
TX
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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