Individual
MR. VICTOR DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
1700 E CLIFF DR, BLDG A STE 200, EL PASO, TX 79902-5192
(915) 577-9009
(915) 577-9006
Mailing address
1700 E CLIFF DR, BLDG A STE 200, EL PASO, TX 79902-5192
(915) 577-9009
(915) 577-9006
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP124616
TX
Other
Enumeration date
10/18/2013
Last updated
08/06/2015
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