Individual
MARIA F DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SURGICAL ASSISTANT
Contact information
Practice address
5007 FM 1960 RD W APT 434, HOUSTON, TX 77069-4555
(346) 757-8680
Mailing address
5007 FM 1960 RD W APT 434, HOUSTON, TX 77069-4555
(346) 757-8680
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18-560
TX
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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