Provider Demographics
NPI:1710794607
Name:ANDRADE DE ALMEIDA, ROMULO AUGUSTO (MD)
Entity type:Individual
Prefix:
First Name:ROMULO AUGUSTO
Middle Name:
Last Name:ANDRADE DE ALMEIDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 BROMPTON ST APT 6011
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2159
Mailing Address - Country:US
Mailing Address - Phone:346-583-0643
Mailing Address - Fax:
Practice Address - Street 1:1400 HOLCOMBE BLVD # FC7.2057
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4008
Practice Address - Country:US
Practice Address - Phone:346-583-0643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0032973864390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program