Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Romulo Manuel Banaag Jr.

Individual provider Gerontology Nurse Practitioner · NPI 1952879280

Romulo Manuel Banaag Jr. is a Nurse Practitioner in Richardson, Texas. Qualified in 2018, 8 years ago. Practices with Southwest Central Wound Care Clinic PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2011 N Collins Blvd Ste 607
Richardson, TX 75080-2636
Phone: (800) 640-3451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP139528 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP139528 (TX)

Record details

NPI number1952879280
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 5, 2018
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southwest Central Wound Care Clinic Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Richardson