Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | H3838 | TX |
NPI | 1003911363 |
---|---|
Provider Name | Jorge E. Romaguera |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 24/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100399801 | (05) | TX |
110070943 | RR MCR (01) | TX |
800233 | BCBS (01) | TX |
D32363 | (02) |