| Roman Family Practice, Pllc | |
|
3106 S W S Young Dr Ste 203b Killeen TX 76542-2008 | |
| (254) 554-8668 | |
| (254) 554-8479 |
| Full Name | Roman Family Practice, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3106 S W S Young Dr Ste 203b, Killeen, Texas |
| Authorized Official Name and Position | Cecilia Roman (OWNER) |
| Authorized Official Contact | 2546818324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roman Family Practice, Pllc 3500 N 60th St Killeen TX 76543-2805 Ph: (254) 681-8324 | Roman Family Practice, Pllc 3106 S W S Young Dr Ste 203b Killeen TX 76542-2008 Ph: (254) 554-8668 |
| NPI Number | 1891284329 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 04/19/2022 |
| Medicare PECOS PAC ID | 9335496512 |
|---|---|
| Medicare Enrollment ID | O20180718003777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891284329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP131878 (Texas) | Primary |
| Provider Name | Cecilia Theuring Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679022107 PECOS PAC ID: 6204114507 Enrollment ID: I20161020000865 |
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