Individual
JEREMY DAVIS DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4705 BRIARWOOD AVENUE, MIDLAND, TX 79707-2639
(432) 505-4145
(833) 941-0864
Mailing address
4705 BRIARWOOD AVENUE, MIDLAND, TX 79707-2639
(432) 505-4145
(833) 941-0864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06951
TX
Other
Enumeration date
09/16/2010
Last updated
02/06/2025
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