Bueno, Jose Domil
Bueno, Jose Domil is an individual health care provider with primary practice located at 808 Tower Dr Suite 1, Odessa TX 79761-4269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bueno, Jose Domil can be contacted via phone (432) 580-4170.Contact Information
Primary practice address
808 Tower Dr Suite 1
Odessa TX 79761-4269
Phone: (432) 580-4170
Fax: (432) 580-4091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | J9635 | Texas |
Profile Details
| NPI number | 1679523658 |
|---|---|
| LBN Legal business name | Bueno, Jose Domil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Apr 22nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679523658 | NPPES |
| Texas | MEDICAID | 110667601 |
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