Organization Active NPI

Romanus O Nwanna MD PA

  • Obstetrics & Gynecology Physician
  • Eagle Pass, TX
National Provider Identifier
1336539741
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L9830 Issued in TX
Legal business name
ROMANUS O NWANNA MD PA
Practice address
2824 N Veterans Blvd
Suite a
Eagle Pass, TX 78852-6695
Phone
(830) 752-1800
NPI assigned
Jan 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Romanus Nwanna, M.D.
Title
Owner
Phone
(830) 752-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X L9830 TX Primary

Addresses

Primary practice location

2824 N Veterans Blvd
Suite a
Eagle Pass, TX 78852-6695

Mailing address

2824 N Veterans Blvd
Suite a
Eagle Pass, TX 78852-6695
Phone (830) 752-1800

Other identifiers 1

IdentifierTypeStateIssuer
171562501MedicaidTX

National Provider Directory

National Provider Directory

Locations

2824 N Veterans Blvd
Eagle Pass, TX 78852
Phone (210) 490-4600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1336539741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 N VETERANS BLVD",
            "address_2": "SUITE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526695",
            "telephone_number": "830-752-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 N VETERANS BLVD",
            "address_2": "SUITE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526695",
            "telephone_number": "830-752-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMANUS O NWANNA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "NWANNA",
        "authorized_official_first_name": "ROMANUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-752-1800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L9830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171562501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.