JASON ROLAND DOMINGUEZ

ODESSA, TX
NPI1861608424
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA04351)
Enumeration Date2007-05-14
Last Update Date2007-07-08
Business Address
-- JASON ROLAND DOMINGUEZ PA-C
315 E 5TH ST
ODESSA, TX 79761-5133
Phone number: 432-333-3433
Mailing Address
-- JASON ROLAND DOMINGUEZ PA-C
6213 GLENHAVEN DR
ODESSA, TX 79762-5022
Phone number: 432-362-0299