Organization
DOMINION MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WARFIELD MD (PRESIDENT)
(512) 834-9999
Entity
Organization
Contact information
Practice address
6301 W PARMER LN, SUITE 102, AUSTIN, TX 78729-6801
(512) 834-9999
(512) 834-9998
Mailing address
6301 W PARMER LN, SUITE 102, AUSTIN, TX 78729-6801
(512) 834-9999
(512) 834-9998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K8564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030NV
BCBS
TX
05
—
185932402
—
TX
Enumeration date
08/10/2006
Last updated
05/01/2008
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