Maira Angelica Roman, | |
4408 Stanford Ct, Houston, TX 77041-8838 | |
(832) 718-0175 | |
Not Available |
Full Name | Maira Angelica Roman |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 4408 Stanford Ct, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194437756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | American Health Assessments, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497027098 PECOS PAC ID: 3870755564 Enrollment ID: O20120425000323 |
Mailing Address | Practice Location Address |
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Maira Angelica Roman, 4408 Stanford Ct, Houston, TX 77041-8838 Ph: () - | Maira Angelica Roman, 4408 Stanford Ct, Houston, TX 77041-8838 Ph: (832) 718-0175 |
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