Sifuentes-Dominguez, Luis Fernando

Sifuentes-Dominguez, Luis Fernando is an individual health care provider with primary practice located at 5323 Harry Hines Boulevard , Dallas TX 75390-7208. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Sifuentes-Dominguez, Luis Fernando can be contacted via phone (214) 648-3903.

Contact Information

Primary practice address
5323 Harry Hines Boulevard Dallas TX 75390-7208
Phone: (214) 648-3903
Fax: (214) 648-2481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X P4613 Texas

Profile Details

NPI number 1740508928
LBN Legal business name Sifuentes-Dominguez, Luis Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2010
Last updated Aug 10th, 2015 - about 11 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 1740508928 NPPES
Connecticut Other 39 STUDENT HEALTHCARE

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