| Antonio Roman, Md, Pa | |
|
6116 N Central Expy Suite 915 Dallas TX 75206-5162 | |
| (214) 969-2953 | |
| (214) 363-2899 |
| Full Name | Antonio Roman, Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6116 N Central Expy, Dallas, Texas |
| Authorized Official Name and Position | Antonio Roman (PRESIDENT) |
| Authorized Official Contact | 2149692953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Roman, Md, Pa 110 W Sandy Lake Rd Ste 102 Coppell TX 75019-2529 Ph: (972) 315-5249 | Antonio Roman, Md, Pa 6116 N Central Expy Suite 915 Dallas TX 75206-5162 Ph: (214) 969-2953 |
| NPI Number | 1750562237 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 08/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750562237 | NPI | - | NPPES |
| 8C6525 | Other | MEDICARE | |
| 00437X | Other | MEDICARE GROUP | |
| 168921801 | Other | TX | MEDICAID GROUP |
| 1124009543 | Other | TX | ANTONIO ROMAN INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | J7286 (Texas) | Primary |
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