Individual
DR. EDWARD A DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 N BECKLEY AVE, PAV III STE#268, DALLAS, TX 75203-1259
(214) 947-4400
(214) 947-4404
Mailing address
1411 N BECKLEY AVE, PAV III STE#268, DALLAS, TX 75203-1259
(214) 947-4400
(214) 947-4404
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
H1951
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147373806
—
TX
Enumeration date
07/28/2005
Last updated
01/22/2009
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