Individual
DOMAINE ORILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9310 STARCREST DR, SAN ANTONIO, TX 78217-4138
(210) 727-3399
Mailing address
14080 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1944
(210) 727-3399
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
37775810
TX
Other
Enumeration date
02/20/2023
Last updated
02/21/2023
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