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Individual

DAVID PAUL HOMINICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9101 N CENTRAL EXPY STE 300B, DALLAS, TX 75231-5945
(469) 800-7100
(214) 363-2608
Mailing address
9101 N CENTRAL EXPY STE 300B, DALLAS, TX 75231-5945
(469) 800-7100
(214) 363-2608

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E4416
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
035225402
TX
05
035225403
TX
05
035225404
TX
01
8S0459
BCBS
TX
Enumeration date
07/08/2006
Last updated
07/02/2012
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