Provider Demographics
NPI:1093904773
Name:FERNANDO A ROMERO MD PA
Entity Type:Organization
Organization Name:FERNANDO A ROMERO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-492-8982
Mailing Address - Street 1:701 S FRY RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2255
Mailing Address - Country:US
Mailing Address - Phone:281-492-8982
Mailing Address - Fax:281-492-6184
Practice Address - Street 1:701 S FRY RD
Practice Address - Street 2:SUITE 120
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2255
Practice Address - Country:US
Practice Address - Phone:281-492-8982
Practice Address - Fax:281-492-6184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1448207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00595NMedicare PIN
TXEO8339Medicare UPIN