Individual
DOMINIQUE ANTHONY MARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2235
(361) 881-3000
Mailing address
215 E CEVALLOS APT 175, SAN ANTONIO, TX 78204-1981
(956) 265-7100
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
191825
TX
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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