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Individual

DR. MARIA G DOMINGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12050 VANCE JACKSON RD, SAN ANTONIO, TX 78230-1182
(210) 699-8881
(210) 699-0503
Mailing address
12050 VANCE JACKSON RD, SAN ANTONIO, TX 78230-1182
(210) 699-8881
(210) 699-0503

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
F9295
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131203507
TX
Enumeration date
06/13/2006
Last updated
09/06/2012
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