Provider Demographics
NPI:1225683774
Name:ROMANS, NAOMI DIANA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:DIANA
Last Name:ROMANS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:NAOMI
Other - Middle Name:DIANA
Other - Last Name:BYNUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5802 SLASHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7852
Mailing Address - Country:US
Mailing Address - Phone:281-948-1083
Mailing Address - Fax:
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA13028363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant