Individual provider · NPI-1

Carl Dominguez, C.C.P.

Spec/Tech, Cardiovascular · San Antonio, TX

NPI number1184760720
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1184760720
Entity type
Individual (NPI-1)
Name
Carl Dominguez
Credential
C.C.P.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 30, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246X00000X Spec/Tech, CardiovascularPF0237TXYes

Practice location

24165 Ih-10 West, Ste 217
Pmb 461
San Antonio, TX 78257-1160

Phone 210-857-3566 · Fax 210-877-9003

Mailing address

24165 Ih-10 West, Ste 217
Pmb 461
San Antonio, TX 78257-1160

Phone 210-857-3566 · Fax 210-877-9003

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