Domino, Thomas Alan

Domino, Thomas Alan is an individual health care provider with primary practice located at 1101 Ohio Dr Ste 110 , Plano TX 75093-5331. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Domino, Thomas Alan can be contacted via phone (972) 985-2622.

Contact Information

Primary practice address
1101 Ohio Dr Ste 110 Plano TX 75093-5331
Phone: (972) 985-2622
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 1108686 Texas

Profile Details

NPI number 1013019041
LBN Legal business name Domino, Thomas Alan
Credentials PT, SCS, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1013019041 NPPES
Other 8T1156 BCBS

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