Individual
ALLISON ELIZABETH REED DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-2900
Mailing address
3929 JENNIE MARIE DR, PFLUGERVILLE, TX 78660-2377
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
879471
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
1156115
TX
Other
Enumeration date
02/23/2024
Last updated
03/26/2024
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