| Mr Timothy A Roman, CRNA | |
|
415 S Washington St, Fredericksburg, TX 78624-4636 | |
| (830) 997-9170 | |
| (830) 997-9226 |
| Full Name | Mr Timothy A Roman |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 415 S Washington St, Fredericksburg, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154399087 | NPI | - | NPPES |
| 178684002 | Medicaid | TX | |
| 1786840 | Medicaid | TX | |
| 8606UA | Other | TX | BLUE CROSS BLUE SHIELD |
| 86079U | Other | TX | BCBS TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 725766 (Texas) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN725766 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy A Roman, CRNA 409 W College St, Fredericksburg, TX 78624-2617 Ph: (830) 997-8579 | Mr Timothy A Roman, CRNA 415 S Washington St, Fredericksburg, TX 78624-4636 Ph: (830) 997-9170 |
Mrs. Mary A Hardie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 S Washington St, Fredericksburg, TX 78624 Phone: 830-997-9170 Fax: 830-997-9226 | |
Patrick Almond, RN, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1020 S State Highway 16, Fredericksburg, TX 78624 Phone: 830-990-6624 | |
Charles Cross, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 206 W Windcrest St, Fredericksburg, TX 78624 Phone: 830-997-0252 | |
Mr. Gregory Shaun Wiggins, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1020 S State Highway 16, Fredericksburg, TX 78624 Phone: 830-997-4353 |