Dominguez, Maria G
Dominguez, Maria G is an sole proprietor health care provider with primary practice located at 12050 Vance Jackson Rd , San Antonio TX 78230-1182. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Dominguez, Maria G can be contacted via phone (210) 699-8881.Contact Information
Primary practice address
12050 Vance Jackson Rd
San Antonio TX 78230-1182
Phone: (210) 699-8881
Fax: (210) 699-0503
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | F9295 | Texas |
Profile Details
NPI number | 1891738449 |
---|---|
LBN Legal business name | Dominguez, Maria G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 13th, 2006 |
Last updated | Sep 6th, 2012 - about 12 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 | 1891738449 | NPPES |
Texas | MEDICAID | 131203507 |
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