Individual
FRANCISCO DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
129 E UPAS AVE, MCALLEN, TX 78501-9569
(956) 560-6069
Mailing address
129 E UPAS AVE, MCALLEN, TX 78501-9569
(956) 560-6069
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
311012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/25/2018
Last updated
04/03/2020
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