| Offices Of Michael A Roman Phd | |
|
4242 Medical Dr Ste 6150 San Antonio TX 78229-5369 | |
| (210) 342-1906 | |
| (210) 570-8203 |
| Full Name | Offices Of Michael A Roman Phd |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4242 Medical Dr Ste 6150, San Antonio, Texas |
| Authorized Official Name and Position | Michael A Roman (CEO) |
| Authorized Official Contact | 2103421906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Offices Of Michael A Roman Phd 4242 Medical Dr Ste 7100 San Antonio TX 78229-5397 Ph: (210) 342-1906 | Offices Of Michael A Roman Phd 4242 Medical Dr Ste 6150 San Antonio TX 78229-5369 Ph: (210) 342-1906 |
| NPI Number | 1194236760 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 07/14/2022 |
| Certification Date | 07/14/2022 |
| Medicare PECOS PAC ID | 1759649981 |
|---|---|
| Medicare Enrollment ID | O20171218001155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194236760 | NPI | - | NPPES |
| Provider Name | Michael A Roman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255315693 PECOS PAC ID: 6608879895 Enrollment ID: I20060808000237 |
| Provider Name | Jessica Renee Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689043390 PECOS PAC ID: 9830472190 Enrollment ID: I20180116000586 |
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