Provider Demographics
NPI:1952853871
Name:PASRIJA, ROMIL (DMD)
Entity Type:Individual
Prefix:
First Name:ROMIL
Middle Name:
Last Name:PASRIJA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 CYPRESS CREEK PKWY
Mailing Address - Street 2:SUITE B1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4521
Mailing Address - Country:US
Mailing Address - Phone:281-583-7480
Mailing Address - Fax:
Practice Address - Street 1:9809 FM 1960
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:281-446-3855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-26
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32477122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist