Provider Demographics
NPI:1649141359
Name:SHYMOLIUK, ROMAN
Entity type:Individual
Prefix:
First Name:ROMAN
Middle Name:
Last Name:SHYMOLIUK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 EASTWOOD PL
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1396
Mailing Address - Country:US
Mailing Address - Phone:346-380-0430
Mailing Address - Fax:
Practice Address - Street 1:10 EASTWOOD PL
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77382-1396
Practice Address - Country:US
Practice Address - Phone:346-380-0430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty