Provider Demographics
NPI:1063518827
Name:ROMO, ARNOLD H
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:H
Last Name:ROMO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 OELKERS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78204-2935
Mailing Address - Country:US
Mailing Address - Phone:210-532-3895
Mailing Address - Fax:210-532-4858
Practice Address - Street 1:3330 CLARK AVE STE 1
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-1509
Practice Address - Country:US
Practice Address - Phone:210-532-4858
Practice Address - Fax:210-532-4858
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0087323332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies