Individual
DOMINIQUE MICHELLE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10175 GATEWAY BLVD W STE 208, EL PASO, TX 79925-7618
(915) 263-7100
(915) 263-7120
Mailing address
101 RIM RD, EL PASO, TX 79902-3667
(915) 263-7100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
R74084
AZ
207VX0201X
Gynecologic Oncology Physician
Primary
R5077
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2020-0300
STATE LICENSE
NM
01
—
R5077
STATE LICENSE
TX
Enumeration date
06/19/2013
Last updated
03/04/2023
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