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Individual

DR. DOMINICK ANTHONY VITALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D. FACS

Contact information

Practice address
11212 TX-151, MEDICAL PLAZA I, STE 230, SAN ANTONIO, TX 78251-4501
(210) 703-8556
(210) 703-8557
Mailing address
11212 STATE HIGHWAY 151 STE 230, SAN ANTONIO, TX 78251-4501
(210) 703-8556

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
S3084
TX
2086S0102X
Surgical Critical Care Physician
S3084
TX
2086S0127X
Trauma Surgery Physician
S3084
TX

Other

Enumeration date
04/04/2012
Last updated
06/11/2024
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