Individual
DR. LEONARDO DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST, 2A100, LUBBOCK, TX 79430-0002
(806) 743-2020
(806) 743-1782
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
44328
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100846300A
—
OK
01
—
131456100
FIRSTCARE COMMERCIAL
TX
05
—
131456101
—
TX
05
—
154559201
—
TX
05
—
154559202
—
TX
05
—
71180036
—
NM
01
—
79540
PRESBYTERIAN COMMERCIAL
NM
05
—
79540
—
NM
01
—
86979Z
HMO BLUE
TX
01
—
8G7980
BC/BS
TX
01
—
B017
TRIWEST
NM
Enumeration date
10/27/2005
Last updated
11/18/2013
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