Provider Demographics
NPI:1891384830
Name:ROMERO INDUSTRIES
Entity Type:Organization
Organization Name:ROMERO INDUSTRIES
Other - Org Name:3 SISTERS MIDWIFERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOYCELYN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:115-126-3567
Mailing Address - Street 1:1105 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76707-3821
Mailing Address - Country:US
Mailing Address - Phone:512-635-6748
Mailing Address - Fax:682-727-5957
Practice Address - Street 1:1105 N 5TH ST
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76707-3821
Practice Address - Country:US
Practice Address - Phone:512-635-6748
Practice Address - Fax:682-727-5957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1386037687OtherNPPES
TX99230OtherTEXAS LICENSE