Provider Demographics
NPI:1013882760
Name:ROMERO, ANGELINA RAYLYN
Entity type:Individual
Prefix:
First Name:ANGELINA
Middle Name:RAYLYN
Last Name:ROMERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 5TH ST APT D
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-2321
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:866-430-7927
Practice Address - Street 1:219 W OAKLAWN RD
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:TX
Practice Address - Zip Code:78064-4221
Practice Address - Country:US
Practice Address - Phone:830-281-8190
Practice Address - Fax:866-430-7927
Is Sole Proprietor?:No
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX369522183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician