Individual
KAYLA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2693 NORTH ST, BEAUMONT, TX 77702-1624
(409) 832-8862
(409) 832-1664
Mailing address
2693 NORTH ST, BEAUMONT, TX 77702-1624
(409) 832-8862
(409) 832-1664
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18313
TX
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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