Basic Information
Provider Information
NPI: 1356356810
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HROMAS
FirstName: ROBERT
MiddleName: ALAN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7979 WURZBACH RD
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782294427
CountryCode: US
TelephoneNumber: 2104501143
FaxNumber: 2104500407
Practice Location
Address1: 7979 WURZBACH RD
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 78229
CountryCode: US
TelephoneNumber: 2104501143
FaxNumber: 2104500407
Other Information
ProviderEnumerationDate: 07/30/2006
LastUpdateDate: 10/23/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X2003-0144NMN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XR8378TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0000XME109770FLN Allopathic & Osteopathic PhysiciansInternal MedicineHematology
207RH0000XR8378TXY Allopathic & Osteopathic PhysiciansInternal MedicineHematology

ID Information
IDTypeStateIssuerDescription
00357300005FL MEDICAID
38841810105TX MEDICAID
38841810201TXCSHCNOTHER


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