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NPI Code Detail

MEDICARE: DR. BRADFORD LANE ROMANS M.D.

MEDICARE: DR. BRADFORD LANE ROMANS M.D.
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
1174400000XSpecialistG8385TX
2207R00000XInternal Medicine PhysicianG8385TX

General Provider Information

NPI Number : 1124071220
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADFORD LANE ROMANS M.D.
Provider Business Mailing Address
First Line : 9991 MARSH LN
Second Line :
City : DALLAS
State : TX
Zip : 75220-1766
Country : US
Telephone Number : 214-358-0090
Fax Number :
Provider Business Practice Location Address
First Line : 9991 MARSH LN
Second Line :
City : DALLAS
State : TX
Zip : 75220-1766
Country : US
Telephone Number : 214-358-0090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 06/12/2015

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