Dominguez, Edward A

Dominguez, Edward A is an individual health care provider with primary practice located at 1411 N Beckley Ave Pav Iii Ste#268, Dallas TX 75203-1259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Dominguez, Edward A can be contacted via phone (214) 947-4400.

Contact Information

Primary practice address
1411 N Beckley Ave Pav Iii Ste#268 Dallas TX 75203-1259
Phone: (214) 947-4400
Fax: (214) 947-4404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X H1951 Texas

Profile Details

NPI number 1598765828
LBN Legal business name Dominguez, Edward A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jan 22nd, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598765828 NPPES
Texas MEDICAID 147373806

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