Individual
JACK ERIC DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
5443 COLTON CRK, SAN ANTONIO, TX 78251-3549
(210) 269-9332
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
714446
TX
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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