Individual
DOMINIQUE DISAPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
15900 LA CANTERA PKWY STE 6698, SAN ANTONIO, TX 78256-2428
(210) 756-9370
Mailing address
15900 LA CANTERA PKWY STE 6698, SAN ANTONIO, TX 78256-2428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11586
TX
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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