Healthcare Provider Details

I. General information

NPI: 1467540468
Provider Name (Legal Business Name): ROMULUS FROST III CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 FULLERTON AVENUE
MCALLEN TX
78504-0188
US

IV. Provider business mailing address

1501 FULLERTON AVENUE
MCALLEN TX
78504-0188
US

V. Phone/Fax

Practice location:
  • Phone: 956-607-8808
  • Fax:
Mailing address:
  • Phone: 956-607-8808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberD184738
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number726534
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: