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NPI Code Detail

MEDICARE: RICHARD STEVEN ROME MD

MEDICARE: RICHARD STEVEN ROME 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
12085R0202XDiagnostic Radiology PhysicianG4048TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295792034
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD STEVEN ROME MD
Provider Business Mailing Address
First Line : 4777 US HIGHWAY 259
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-7668
Country : US
Telephone Number : 903-663-4800
Fax Number : 903-663-7394
Provider Business Practice Location Address
First Line : 1011 N GALLOWAY
Second Line : RADIOLOGY DEPARTMENT
City : MESQUITE
State : TX
Zip : 75149-2433
Country : US
Telephone Number : 214-320-7000
Fax Number : 903-663-7394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 01/04/2012

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Directions to “ RICHARD STEVEN ROME MD” Practice Location

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