Individual
DR. DOMINIQUE B YANG-KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5253 PRUE RD STE 315C, SAN ANTONIO, TX 78240-1758
(210) 750-8100
Mailing address
9110 FAIRLAND ST, SAN ANTONIO, TX 78230-4434
(626) 394-1408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
XXXX
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15019054
CAQH
—
Enumeration date
06/18/2008
Last updated
12/01/2020
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