Provider Demographics
NPI:1679022107
Name:ROMAN, CECILIA THEURING (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:THEURING
Last Name:ROMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3106 S W S YOUNG DR STE B-203
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-2000
Mailing Address - Country:US
Mailing Address - Phone:254-833-5023
Mailing Address - Fax:254-554-8479
Practice Address - Street 1:3106 S W S YOUNG DR STE 203B
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-2008
Practice Address - Country:US
Practice Address - Phone:254-554-8668
Practice Address - Fax:254-554-8479
Is Sole Proprietor?:No
Enumeration Date:2016-09-26
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131878363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily