Organization
DOMINIQUE GAGNON M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE GAGNON M.D. PH.D. (FAMILY MEDICINE PHYSICIAN)
(806) 368-1891
Entity
Organization
Contact information
Practice address
1600 S SUNSET AVE, LITTLEFIELD, TX 79339-4810
(806) 385-6424
Mailing address
300 E 13TH ST, LITTLEFIELD, TX 79339-4516
(806) 368-1891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508593831
—
TX
05
—
1548826605
—
TX
Enumeration date
08/05/2022
Last updated
10/28/2022
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