Provider Demographics
NPI:1548564800
Name:SAMUEL F. ROMERO RAMOS, MD PA
Entity Type:Organization
Organization Name:SAMUEL F. ROMERO RAMOS, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:ROMER RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-533-4445
Mailing Address - Street 1:2311 N MESA ST
Mailing Address - Street 2:BLDG. J
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3666
Mailing Address - Country:US
Mailing Address - Phone:915-533-4445
Mailing Address - Fax:915-533-4488
Practice Address - Street 1:2311 N MESA ST
Practice Address - Street 2:BLDG. J
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3666
Practice Address - Country:US
Practice Address - Phone:915-533-4445
Practice Address - Fax:915-533-4488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7373261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF7373OtherTEXAS MEDICAL LICENSE