Roman, Michael A

Roman, Michael A is an sole proprietor health care provider with primary practice located at 4242 Medical Dr Ste 7100 , San Antonio TX 78229-5397. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Roman, Michael A can be contacted via phone (210) 342-1906.

Contact Information

Primary practice address
4242 Medical Dr Ste 7100 San Antonio TX 78229-5397
Phone: (210) 342-1906
Fax: (210) 570-8203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 24435 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 24435 Texas
Behavioral Health & Social Service Providers / School 103TS0200X 30235 Texas
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 24435 Texas

Profile Details

NPI number 1255315693
LBN Legal business name Roman, Michael A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Apr 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255315693 NPPES
Texas Other 243539000 MAGELLAN BEHAVIORAL HEALT
Texas MEDICAID 110626202 MAGELLAN BEHAVIORAL HEALT
Texas Other 285657 MAGELLAN BEHAVIORAL HEALT

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