Individual
DR. MA REYNA DOMINIQUE CRISTOBAL JIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102 N NUECES PARK LN, HARLINGEN, TX 78552-6235
(000) 000-0000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
Q6210
TX
208M00000X
Hospitalist Physician
Q6210
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/22/2011
Last updated
03/10/2025
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