Individual
DOMINGO AGUIRRE DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
696 FM 99, KARNES CITY, TX 78118-5009
(830) 780-3944
Mailing address
1008 W ROCKPORT ST, MATHIS, TX 78368-2161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210192
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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