Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A93297 | CA |
N | 207X00000X | Orthopaedic Surgeon | Q0352 | TX |
N | 207XS0117X | Orthopaedic Spine Surgeon | A93297 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | Q0352 | TX |
NPI | 1407812399 |
---|---|
Provider Name | Dr. Antonio Navarro Romero JR. |
First Address | Huntington Park, CA 90255-5848 |
Second Address | Huntington Park, CA 90255-5848 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 11/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
337524801 | (05) | TX |