Individual
DR. EMILIO JOSE DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23 GREENS SHADE, SAN ANTONIO, TX 78216-7812
(210) 872-3375
Mailing address
23 GREENS SHADE, SAN ANTONIO, TX 78216-7812
(210) 872-3375
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
G1888
TX
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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