Individual
DR. DONALD DEAN DOMINY III
Active
Individual
DR. DONALD DEAN DOMINY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
N1615
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
N1615
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336370527
BLUE CROSS BLUE SHIELD
TX
05
—
307642401
—
TX
05
—
307642402
—
TX
05
—
307642403
—
TX
05
—
307642404
—
TX
05
—
307642405
—
TX
05
—
307642406
—
TX
01
—
P01170515
RR MEDICARE
TX
01
—
P01258412
MEDICARE RR
TX
Enumeration date
08/05/2009
Last updated
06/10/2019
Update your record
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