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Organization

DOMINION PROVIDER SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA ELENA HINOJOSA (OWNER/ADMINISTRATOR)
(956) 568-3979
Entity
Organization

Contact information

Practice address
1008 E HILLSIDE RD, LAREDO, TX 78041-3287
(956) 568-3979
(956) 568-4014
Mailing address
1008 E HILLSIDE RD, LAREDO, TX 78041-3287
(956) 568-3979
(956) 568-4014

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
016977
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016977
TX
Enumeration date
10/12/2016
Last updated
10/12/2016
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