MEDICARE: ROMIL I. AMAR APRN, AGPCNP-BC

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	363LP2300X	Primary Care Nurse Practitioner	1173388	TX

General Provider Information

NPI Number	:	1659106342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROMIL I. AMAR APRN, AGPCNP-BC

Provider Business Mailing Address
First Line	:	7517 CAMPBELL RD STE 616
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-1762
Country	:	US
Telephone Number	:	972-238-8092
Fax Number	:	972-238-8093

Provider Business Practice Location Address
First Line	:	7517 CAMPBELL RD STE 616
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-1762
Country	:	US
Telephone Number	:	972-238-8092
Fax Number	:	972-238-8093

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

Provider Enumeration Date	:	09/04/2024
Last Update Date	:	01/26/2026

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