Individual
MR. DOMINGO CESAR SIFUENTES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
12221 LESLIE RD, HELOTES, TX 78023
(210) 884-5330
Mailing address
12221 LESLIE RD, HELOTES, TX 78023
(210) 397-4846
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4161
TX
Other
Enumeration date
07/01/2017
Last updated
07/01/2017
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