Most Relevant Information
Provider Data
| NPI Number: | 1003317272 |
| Provider Name: | PRISCILLA ROMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 861969 |
Most Important Dates
| Enumeration Date: | 02/23/2018 |
| Last Updated: | 02/23/2018 |
Provider Practice Location
13752 ROGERS RD
WILLIS
TX
773782914
Practice Location Phone/Fax
| Phone: | 9362039222 |
| Fax: |
Provider Mailing Location
13752 ROGERS RD
WILLIS
TX
773782914
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |