Organization
DOMINGUEZ ROYAL PRIMARY HOME CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL DOMINGUEZ JR. (ALTERNATE ADMINISTRATOR)
(956) 775-5824
Entity
Organization
Contact information
Practice address
1315 E HILLSIDE RD, SUITE 104, LAREDO, TX 78041-6854
(956) 775-5824
(956) 725-2305
Mailing address
1315 E HILLSIDE RD, SUITE 104, LAREDO, TX 78041-6854
(956) 775-5824
(956) 725-2305
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
TX
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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