Provider Demographics
NPI:1386037687
Name:ROMERO, JOYCELYN (CPM, LM)
Entity Type:Individual
Prefix:
First Name:JOYCELYN
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6431 GHOLSON RD
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76705-5330
Mailing Address - Country:US
Mailing Address - Phone:512-635-6748
Mailing Address - Fax:
Practice Address - Street 1:6431 GHOLSON RD
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76705-5330
Practice Address - Country:US
Practice Address - Phone:151-263-5674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99230176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife