Provider Demographics
NPI:1124912654
Name:ROMERO, LUIS A (PHD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:A
Last Name:ROMERO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 W NOLANA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3029
Mailing Address - Country:US
Mailing Address - Phone:956-688-6229
Mailing Address - Fax:956-688-6218
Practice Address - Street 1:507 W NOLANA AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3029
Practice Address - Country:US
Practice Address - Phone:956-688-6229
Practice Address - Fax:956-688-6218
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40592103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty