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Individual

DR. DOMINIC JOHN RAYMOND III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
590 MEDICAL CENTER ROAD, BUILDING 36065, FORT CAVAZOS, TX 76544-4752
(254) 288-8000
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary

Other

Enumeration date
03/25/2024
Last updated
05/21/2025
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