Individual
DR. LEONARDO DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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