MEDICARE: ROMMANA AZIZ D.O.

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	207Q00000X	Family Medicine Physician	L4235	TX

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

General Provider Information

NPI Number	:	1972507671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROMMANA AZIZ D.O.

Provider Business Mailing Address
First Line	:	1735 KELLER SPRINGS RD
Second Line	:	SUITE 100
City	:	CARROLLTON
State	:	TX
Zip	:	75006-2962
Country	:	US
Telephone Number	:	972-466-3400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1735 KELLER SPRINGS RD
Second Line	:	SUITE 100
City	:	CARROLLTON
State	:	TX
Zip	:	75006-2962
Country	:	US
Telephone Number	:	972-466-3400
Fax Number	:

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	06/05/2013

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