Jason Roland Dominguez, PA-C

NPI #1861608424 in Odessa, Texas

Provider Information

NPI Number
1861608424
Entity Type
Individual
Name
Jason Roland Dominguez, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
May 14, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
315 E 5TH ST
City
Odessa
State
Texas
ZIP Code
79761-5133
Phone
(432) 333-3433

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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