Individual
DR. HENRY J. LOPEZ-ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700
(979) 532-6754
Mailing address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700
(979) 532-6754
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
E8674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139255704
—
TX
05
—
139255717
—
TX
01
—
830003057
RAILROAD GBA - RAILROAD MEDICARE
TX
01
—
89Z781
BC/BS TX#
TX
01
—
8DE535
BC/BS #
TX
01
—
P01090501
RAILROAD MEDICARE PTAN
TX
Enumeration date
04/12/2006
Last updated
12/05/2012
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