Healthcare Provider Details

I. General information

NPI: 1649187956
Provider Name (Legal Business Name): CECILIA E ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 E US HIGHWAY 66
EL RENO OK
73036-9255
US

IV. Provider business mailing address

6100 E US HIGHWAY 66
EL RENO OK
73036-9255
US

V. Phone/Fax

Practice location:
  • Phone: 405-262-0042
  • Fax: 405-262-2800
Mailing address:
  • Phone: 405-262-0042
  • Fax: 405-262-2800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: