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DR. MICHAEL A ROMAN PH.D.

Clinical Neuropsychologist

San Antonio, Texas

Provider NPI: 1255315693

Provider Information:
DR. MICHAEL A ROMAN PH.D.
Gender: M
Sole Proprietor


Practice Location:
4242 MEDICAL DR #6150 SAN ANTONIO, TX 78229 US
Tel: 210-342-1906  Fax: 210-949-1909

Business Mailing Address:
4242 MEDICAL DR #6150 SAN ANTONIO, TX 78229 US
Tel: 210-342-1906  Fax: 210-949-1909

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX24435
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
TX24435
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
TX24435
N103TS0200XBehavioral Health & Social Service Providers
Psychologist
TX30235

Other Provider Identifiers:

IssuerNumberStateType
110626202TX05
MAGELLAN BEHAVIORAL HEALT243539000TX01
VALUE OPTIONS285657TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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