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Individual

DR. DOMINGO BAEZ-DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, ACNP/CNS

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-9432
Mailing address
811 NIEBLA CRK, SAN ANTONIO, TX 78263-6059
(210) 376-9517

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R196970
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R196970
MD
364SA2100X
Acute Care Clinical Nurse Specialist
CS00172
MD

Other

Enumeration date
03/17/2021
Last updated
07/10/2026
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