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1205257763
DAVID DOMINGUEZ
SAN ANTONIO, TX
NPI
1205257763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA08910)
Enumeration Date
2013-12-30
Last Update Date
2019-01-28
Business Address
DAVID DOMINGUEZ PA
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Phone number: 210-358-2078
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Mailing Address
DAVID DOMINGUEZ PA
4502 MEDICAL DR
SAN ANTONIO, TX 78229-4402
Phone number: 210-358-2078
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