Dominguez, Jeremy Davis

Dominguez, Jeremy Davis is an individual health care provider with primary practice located at 602 Indiana Ave , Lubbock TX 79415-3364. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Dominguez, Jeremy Davis can be contacted via phone (806) 761-0566.

Contact Information

Primary practice address
602 Indiana Ave Lubbock TX 79415-3364
Phone: (806) 761-0566
Fax: (806) 744-7252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06951 Texas

Profile Details

NPI number 1841508462
LBN Legal business name Dominguez, Jeremy Davis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2010
Last updated Feb 12th, 2021 - about 4 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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