Provider Demographics
NPI:1184776882
Name:ROMAN, ANA ESTELA (MD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:ESTELA
Last Name:ROMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:
Other - Last Name:ROMAN-HOLLOWAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 1406
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-796-1700
Mailing Address - Fax:713-796-1701
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 1406
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-796-1700
Practice Address - Fax:713-796-1701
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6937207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX039905702Medicaid
TX039905704Medicaid
TX1184776882OtherBLUE CROSS BLUE SHIELD
TX8S5610OtherBCBS
TXP00852804OtherMEDICARE RAILROAD
TXP01030485OtherRR MEDICARE
TX039905703Medicaid
TXTXB135786Medicaid
TXP01030485OtherRR MEDICARE
TX039905704Medicaid
TX8F0254Medicare PIN