Individual
DAVID C DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339986704
—
TX
01
—
339986705
CSHCN
TX
Enumeration date
12/30/2013
Last updated
07/07/2025
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