Individual
MR. CHARLIE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1521 JOE BATTLE BLVD, EL PASO, TX 79936-0922
(915) 790-5700
Mailing address
1605 EL PASEO RD, LAS CRUCES, NM 88001-6010
(575) 523-5400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
557338
NM
363LF0000X
Family Nurse Practitioner
Primary
AP140823
TX
Other
Enumeration date
04/04/2019
Last updated
03/13/2025
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