Provider Demographics
NPI:1093783300
Name:ROMERO, JULIUS ROBERT (PT)
Entity Type:Individual
Prefix:MR
First Name:JULIUS
Middle Name:ROBERT
Last Name:ROMERO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 HUDSPETH ST
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:TX
Mailing Address - Zip Code:76950-8003
Mailing Address - Country:US
Mailing Address - Phone:325-387-1290
Mailing Address - Fax:325-387-1296
Practice Address - Street 1:308 HUDSPETH ST
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:TX
Practice Address - Zip Code:76950-8003
Practice Address - Country:US
Practice Address - Phone:325-387-1290
Practice Address - Fax:325-387-1296
Is Sole Proprietor?:No
Enumeration Date:2006-03-11
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1148079225100000X
TXAT29702255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer