Dominguez, Robert Scott

Dominguez, Robert Scott is an individual health care provider with primary practice located at 215 Old Highway 1187 , Burleson TX 76028-0281. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Dominguez, Robert Scott can be contacted via phone (817) 926-2663.

Contact Information

Primary practice address
215 Old Highway 1187 Burleson TX 76028-0281
Phone: (817) 926-2663
Fax: (817) 293-8860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2384 Texas

Profile Details

NPI number 1740631548
LBN Legal business name Dominguez, Robert Scott
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2016
Last updated Jan 19th, 2023 - about last year

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 1740631548 NPPES
Texas Other 2384 TEXAS DEPARTMENT OF LICENSING AND REGULATION

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