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NPI 1821010786

NPI 1821010786 : ORESTES ROMERO MD PA : VICTORIA, TX

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General NPI Number Information
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    NPI Number           |    1821010786
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORESTES ROMERO MD PA 
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Dates
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    Enumeration Date     |    07/23/2006
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    Last Update Date     |    08/13/2008
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Provider Practice Location Address
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    Address Line         |    601 E SAN ANTONIO ST STE 205 W
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    City                 |    VICTORIA
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    State                |    TX
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    Zip                  |    77901-6002
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    Country              |    US
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    Telephone            |    361-570-1200
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    Fax                  |    361-570-1220
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4258 
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    City                 |    VICTORIA
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    State                |    TX
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    Zip                  |    77903-4258
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    Country              |    US
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    Telephone            |    361-570-1200
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    Fax                  |    361-570-1220
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ORESTES  ROMERO 
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    Credential           |    MD
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    Telephone            |    361-570-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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