Individual
EDWARD DOMINGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 GASLIGHT BOULEVARD, LUFKIN, TX 75904-3170
(936) 634-4424
(936) 634-8833
Mailing address
409 GASLIGHT BOULEVARD, LUFKIN, TX 75904-3170
(936) 634-4424
(936) 634-8833
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E1557
TX
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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