Individual
DR. ALVIO JAVIER DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 266-7856
Mailing address
PO BOX 650859, DALLAS, TX 75265-0859
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP10084371
TX
390200000X
Student in an Organized Health Care Education/Training Program
P10084371
TX
Other
Enumeration date
05/15/2023
Last updated
05/31/2023
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