Provider Demographics
NPI:1902899396
Name:KAUR, ROMINDER (MD)
Entity Type:Individual
Prefix:
First Name:ROMINDER
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 FM 407
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7180
Mailing Address - Country:US
Mailing Address - Phone:972-966-2525
Mailing Address - Fax:972-966-1359
Practice Address - Street 1:2016 FM 407
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7161
Practice Address - Country:US
Practice Address - Phone:972-966-2525
Practice Address - Fax:972-966-1359
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0859207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170400901Medicaid
TX170401701Medicaid
TX8739B8Medicare PIN
TXG42249Medicare UPIN