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NPI Code Detail

MEDICARE: JORGE ROMAN-LATORRE M.D.

MEDICARE: JORGE ROMAN-LATORRE 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
1207RN0300XNephrology PhysicianK3437TX

General Provider Information

NPI Number : 1518938448
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE ROMAN-LATORRE M.D.
Provider Business Mailing Address
First Line : 1420 VICEROY DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-2208
Country : US
Telephone Number : 214-358-2300
Fax Number : 214-366-6127
Provider Business Practice Location Address
First Line : 13154 COIT RD
Second Line : SUITE 100
City : DALLAS
State : TX
Zip : 75240-5773
Country : US
Telephone Number : 214-358-2300
Fax Number : 214-366-6430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 02/28/2008

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Directions to “ JORGE ROMAN-LATORRE M.D.” Practice Location

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