Provider Demographics
NPI:1407113327
Name:FERMIN ROMERO ARREOLA, MD PA
Entity Type:Organization
Organization Name:FERMIN ROMERO ARREOLA, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FERMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO ARREOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-796-0269
Mailing Address - Street 1:PO BOX 440556
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78044-0556
Mailing Address - Country:US
Mailing Address - Phone:956-796-0269
Mailing Address - Fax:956-796-9750
Practice Address - Street 1:702 E CALTON RD
Practice Address - Street 2:STE 202 B
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3988
Practice Address - Country:US
Practice Address - Phone:956-796-0269
Practice Address - Fax:956-796-9750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2234208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI44067Medicare UPIN