Real Results Clinic LLC

NPI #1770834145 in Covington, Louisiana

Provider Information

NPI Number: 1770834145
Entity Type: Organization
Organization Name: Real Results Clinic LLC
Primary Specialty: Surgery
Enumeration Date: Sep 26, 2012
Last Updated: Jan 23, 2015

Practice Location

Address: 606 W. 11TH AVE.
Address 2: SUITE B
City: Covington
State: Louisiana
ZIP Code: 70433
Phone: (985) 590-4061

Authorized Official

Name: DR. MARK J. DOMINGUEZ, MD
Title: MD
Phone: (504) 590-4061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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