Individual
DR. JORGE E DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3150 INTERNATIONAL BLVD, BROWNSVILLE, TX 78521-3214
(956) 548-1100
(956) 504-1907
Mailing address
3150 INTERNATIONAL BLVD, BROWNSVILLE, TX 78521-3214
(956) 548-1100
(956) 504-1907
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
H3561
TX
208D00000X
General Practice Physician
Primary
H3561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136415009
—
TX
Enumeration date
02/05/2007
Last updated
06/27/2023
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