Basic Information
Provider Information
NPI: 1093783300
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROMERO
FirstName: JULIUS
MiddleName: ROBERT
NamePrefix: MR.
NameSuffix:  
Credential: PT, ATC/L, CSCS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1317 S. 1 1/2 STREET
Address2:  
City: MCALLEN
State: TX
PostalCode: 78501
CountryCode: US
TelephoneNumber: 9569281571
FaxNumber:  
Practice Location
Address1: 500 LINDBERG AVE
Address2:  
City: MCALLEN
State: TX
PostalCode: 785012924
CountryCode: US
TelephoneNumber: 9566874555
FaxNumber: 9566874554
Other Information
ProviderEnumerationDate: 03/11/2006
LastUpdateDate: 12/22/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1148079TXY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
2255A2300XAT2970TXN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer

No ID Information.


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