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KENNETH WILLIAM DOMUCZICZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1201 W 38TH ST, #101, AUSTIN, TX 78705-1006
(512) 324-1010
Mailing address
4801 FAWN RUN, AUSTIN, TX 78735-6404

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L6865
TX

Other

Enumeration date
04/19/2006
Last updated
03/25/2008
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