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Individual

DOMICIANO ESPINOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C, MPAS

Contact information

Practice address
900 S BRYAN RD, MISSION, TX 78572-6613
(956) 323-1070
Mailing address
3702 N 6TH ST APT A, MCALLEN, TX 78501-1740
(956) 388-0121

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TX

Other

Enumeration date
03/30/2015
Last updated
03/30/2015
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