Individual
MR. RAMON K DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 S. HWY 305, MCCAMEY, TX 79752
(432) 652-4010
(432) 652-4013
Mailing address
PO BOX 1200, MC CAMEY, TX 79752-1200
(432) 652-4010
(432) 652-4013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E7892
TX
207R00000X
Internal Medicine Physician
E7892
TX
207RG0100X
Gastroenterology Physician
Primary
E7892
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122439
SUPERIOR PCP #
TX
01
—
82Y568
BCBS PROVIDER #
TX
01
—
83953F
BCBS PROVIDER #
TX
01
—
E7892
LICENSE NUMBER
TX
Enumeration date
06/22/2005
Last updated
09/11/2025
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