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Individual

DR. DOMINIC TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 W INTERSTATE 20 STE 1, ARLINGTON, TX 76017
(817) 784-8268
(817) 417-1150
Mailing address
801 W INTERSTATE 20 STE 1, ARLINGTON, TX 76017-5851
(817) 784-8268
(817) 417-1150

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R4909
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
387325901
TX
05
387325902
TX
05
387325903
TX
Enumeration date
06/10/2011
Last updated
11/04/2019
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