Individual
DR. LUIS FERNANDO SIFUENTES-DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7208
(214) 648-3903
(214) 648-2481
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 648-3903
(214) 649-2481
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
P4613
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39
STUDENT HEALTHCARE
CT
Enumeration date
05/12/2010
Last updated
08/10/2015
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