Provider Demographics
NPI:1467540468
Name:FROST, ROMULUS III (CRNA)
Entity Type:Individual
Prefix:
First Name:ROMULUS
Middle Name:
Last Name:FROST
Suffix:III
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 FULLERTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0188
Mailing Address - Country:US
Mailing Address - Phone:956-607-8808
Mailing Address - Fax:
Practice Address - Street 1:1501 FULLERTON AVENUE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-0188
Practice Address - Country:US
Practice Address - Phone:956-607-8808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX726534367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered