=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841841863
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARIA DEL CARMEN ROMERO NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2019
-----------------------------------------------------
Last Update Date | 06/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 512 VICTORIA LN STE 14
-----------------------------------------------------
City | HARLINGEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78550-3235
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-365-4400
-----------------------------------------------------
Fax | 956-365-4111
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 512 VICTORIA LN STE 2
-----------------------------------------------------
City | HARLINGEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78550-3227
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-365-4400
-----------------------------------------------------
Fax | 956-365-4111
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Nurse Practitioner
-----------------------------------------------------
License Number | AP142993
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------