MEDICARE: ROMAN FAMILY PRACTICE, PLLC

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	261QP2300X	Primary Care Clinic/Center	AP131878	TX

General Provider Information

NPI Number	:	1891284329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROMAN FAMILY PRACTICE, PLLC

Provider Business Mailing Address
First Line	:	2030 HEIGHTS DR STE 3
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-2185
Country	:	US
Telephone Number	:	254-554-8668
Fax Number	:	254-554-8479

Provider Business Practice Location Address
First Line	:	2030 HEIGHTS DR STE 3
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-2185
Country	:	US
Telephone Number	:	254-554-8668
Fax Number	:	254-554-8479

Authorized Official
Title or Position	:	OWNER
Name	:	CECILIA ROMAN
Credential	:	FNP
Telephone Number	:	254-681-8324

Provider Enumeration Date	:	05/10/2018
Last Update Date	:	01/29/2026

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