MEDICARE: DR. ANA ESTELA ROMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	H6937	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00852804	OTHER	TX	MEDICARE RAILROAD
6	P01030485	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1184776882	OTHER	TX	BLUE CROSS BLUE SHIELD
4	8S5610	OTHER	TX	BCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184776882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANA ESTELA ROMAN MD

Provider Business Mailing Address
First Line	:	6560 FANNIN ST
Second Line	:	SUITE 1406
City	:	HOUSTON
State	:	TX
Zip	:	77030-2761
Country	:	US
Telephone Number	:	713-796-1700
Fax Number	:	713-796-1701

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST
Second Line	:	SUITE 1406
City	:	HOUSTON
State	:	TX
Zip	:	77030-2761
Country	:	US
Telephone Number	:	713-796-1700
Fax Number	:	713-796-1701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	06/13/2012

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Directions to “ DR. ANA ESTELA ROMAN MD” Practice Location

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