Madison Elizabeth Roman, PA-C

Physician assistant in Lake Jackson, Texas · NPI 1548874365

Madison Roman is one of 9 physician assistants practicing in Lake Jackson, Texas. Madison Roman practices with Privia Medical Group Gulf Coast PLLC.

Registry record (NPPES)

NPI
1548874365
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
208 Oak Dr S Ste 300
Lake Jackson, TX 77566-5640
(979) 266-9544
Enumerated
Aug 31, 2020
Record last updated
Aug 28, 2023

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Physician Assistant
Revalidation due
No date set by CMS

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  • Procedure volumes by CPT code
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  • Full enrollment history
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Practice locations

More physician assistants in Lake Jackson

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.