Organization
ROLAND J. DOMINGUEZ M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND J DOMINGUEZ M.D. (PRESIDENT)
(956) 492-2900
Entity
Organization
Contact information
Practice address
2829 BABCOCK RD, SUITE #407, SAN ANTONIO, TX 78229-6028
(210) 614-5437
(210) 949-5051
Mailing address
2829 BABCOCK RD, SUITE #407, SAN ANTONIO, TX 78229-6028
(210) 614-5437
(210) 949-5051
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
H3874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124696905
—
TX
Enumeration date
02/09/2012
Last updated
06/22/2012
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