MEDICARE: ROAMONA GAULDEN

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
1	343900000X	Non-emergency Medical Transport (VAN)		TX

General Provider Information

NPI Number	:	1356208854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROAMONA GAULDEN

Provider Business Mailing Address
First Line	:	1150 LANTANA THICKET WAY
Second Line	:
City	:	ROSHARON
State	:	TX
Zip	:	77583-4845
Country	:	US
Telephone Number	:	504-605-5258
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 LANTANA THICKET WAY
Second Line	:
City	:	ROSHARON
State	:	TX
Zip	:	77583-4845
Country	:	US
Telephone Number	:	504-605-5258
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ ROAMONA GAULDEN ” Practice Location

Language	Start Address	Practice Location

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