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NPI Code Detail

MEDICARE: CARLOS A ROMAN MD

MEDICARE: CARLOS A ROMAN MD
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
1207RC0001XClinical Cardiac Electrophysiology PhysicianJ2766TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TXB112510OTHERTXMEDICARE
4P00898271OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
28CM516OTHERTXBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043297989
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS A ROMAN MD
Provider Business Mailing Address
First Line : 4411 MEDICAL DR STE 300
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-3824
Country : US
Telephone Number : 210-614-5400
Fax Number : 210-614-2413
Provider Business Practice Location Address
First Line : 4411 MEDICAL DR
Second Line : STE 300
City : SAN ANTONIO
State : TX
Zip : 78229-3824
Country : US
Telephone Number : 210-614-5400
Fax Number : 210-614-2413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 07/21/2022

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Directions to “ CARLOS A ROMAN MD” Practice Location

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