Individual
DR. JOSE DOMIL BUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
808 TOWER DR, SUITE 1, ODESSA, TX 79761-4269
(432) 580-4170
(432) 580-4091
Mailing address
808 TOWER DR, SUITE 1, ODESSA, TX 79761-4269
(432) 580-4170
(432) 580-4091
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J9635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110667601
—
TX
Enumeration date
05/11/2006
Last updated
04/22/2022
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