Provider Demographics
NPI:1023002292
Name:ROMERO, ALBERTO JOSE (MD,)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:JOSE
Last Name:ROMERO
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 AMBLE OAK CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-6451
Mailing Address - Country:US
Mailing Address - Phone:281-635-1495
Mailing Address - Fax:
Practice Address - Street 1:4343 FAIRMONT PKWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3305
Practice Address - Country:US
Practice Address - Phone:281-991-0444
Practice Address - Fax:713-946-7442
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3839207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145830901Medicaid
TX8B3010OtherBC/BS
TX8B3010OtherBC/BS
TXG55565Medicare UPIN