DAVID DOMINGUEZ


Address: 4502 Medical Dr, San Antonio, TX 78229
Phone: 2103582078

DAVID DOMINGUEZ (NPI# 1205257763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205257763
Entity Type Individual
Full Name DAVID DOMINGUEZ
Credential PA
Practice Address 4502 Medical Dr
San Antonio
TX 78229
Mailing Address 4502 Medical Dr
San Antonio
TX 78229-4402
Practice Telephone 2103582078
Practice Fax Number 2103581972
Mailing Telephone 2103582078
Mailing Fax Number 2103581972
Enumeration Date 2013-12-30
Last Update Date 2019-01-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA08910 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 339986704 05
TX CSHCN 339986705 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
7579 N Loop 1604 W, Suite 100, San Antonio, TX 782492781 2106951900 2106951901

Other Providers DAVID DOMINGUEZ

NPI Name Taxonomy Address Enumeration
1063935989 David Dominguez Dentist 201 N Constitution Dr # 1, Aurora, IL 60506-3214 2017-07-23
1467694521 David E. Dominguez Orthopaedic Surgery 141 Coconut Dr, Indialantic, FL 32903-2607 2009-04-03
1518923259 David Y Dominguez Pediatrics 465 Waverley Oaks Rd Ste 100, Waltham, MA 02452-8484 2006-04-21
1467953117 David Dominguez Behavior Technician 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 2018-02-27
1356422521 David Alan Dominguez Physician Assistant 101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94535-1800 2006-10-17
1649360512 David C. Dominguez Emergency Medicine Unm Department of Emergency Medicine Msc10, 1 University of New Mexico, Albuquerque, NM 87131-0001 2006-10-13
1689772469 David Anthony Dominguez Nurse Practitioner 814 Caroline Ave, Junction City, KS 66441-5210 2006-09-20
1780794917 David Jaime Dominguez Dentist 17240 Mill Forest Rd, Ste A, Webster, TX 77598 2006-08-30
1366451122 David Dominguez Family Medicine 1021 Silver Bluff Rd, Aiken, SC 29803 2006-08-07

Office Location

Street Address 4502 MEDICAL DR
City SAN ANTONIO
State TX
Zip Code 78229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528061017 Sandra E Sanchez-reilly Internal Medicine 4502 Medical Dr, San Antonio, TX 78229 2005-05-27
1356959217 Andrew Sharp Nurse Practitioner 4502 Medical Dr, San Antonio, TX 78229-4402 2020-07-16
1588280895 Juan Manuel Martinez Escallon Student in an Organized Health Care Education/Training Program 4502 Medical Dr, San Antonio, TX 78229-4402 2020-06-23
1982220331 Gabriel Roman Souza Student in an Organized Health Care Education/Training Program 4502 Medical Dr, San Antonio, TX 78229-4402 2020-06-22
1548883689 Sheldon Sugioka Radiologic Technologist 4502 Medical Dr, San Antonio, TX 78229-4402 2020-05-23
1306469895 Hrishikesh Das Student in an Organized Health Care Education/Training Program 4502 Medical Dr, San Antonio, TX 78229-4402 2020-05-19
1427671932 Jacob Daniel Weston Student in an Organized Health Care Education/Training Program 4502 Medical Dr, San Antonio, TX 78229-4402 2020-05-19
1396368882 Yimage Ahmed Surgery 4502 Medical Dr, San Antonio, TX 78229-4402 2020-05-19
1376165001 Jun Hung Student in an Organized Health Care Education/Training Program 4502 Medical Dr, San Antonio, TX 78229-4402 2020-05-15
1407477060 Nicolas Alexander Morton-gonzaba Student in an Organized Health Care Education/Training Program 4502 Medical Dr, San Antonio, TX 78229-4402 2020-05-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245857226 Lyndsey A Sandoval Optometrist 7400 Minton Miner St, San Antonio, TX 78229 2020-06-25
1295355311 Nicolet Finger Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 2020-04-18
1215557400 Amy Elizabeth Werry Clinical Neuropsychologist 7703 Floyd Circle Drive, San Antonio, TX 78229 2020-04-17
1740822972 Mohammad Safaie Yazdi Student in an Organized Health Care Education/Training Program Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 2019-10-09
1063053072 Blas Edward Villa Nurse Practitioner 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 2019-10-01
1124673942 Integrity Dme Services LLC Durable Medical Equipment & Medical Supplies 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 2019-08-08
1730734120 Marisa Erin Leyden Speech-Language Pathologist Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 2019-08-03
1285295741 Alireza Ghezavati Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 2019-06-25
1407410285 Denae Cheyenne Rushing Student in an Organized Health Care Education/Training Program 8201 Floyd Curl Drive, San Antonio, TX 78229 2019-04-26
1265993570 Shehzad Amlani Student in an Organized Health Care Education/Training Program Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 2019-03-28
Find all providers in zip 78229

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447866298 Diana P Olivares Physician Assistant 8920 Quihi Way, San Antonio, TX 78254-1901 2020-09-17
1740893445 Mcrm Assist, Pllc Physician Assistant 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 2020-08-24
1508476086 Matthew Gaines Physician Assistant 2626 Bluff Xing, San Antonio, TX 78244-1000 2020-08-09
1235757519 Joseph Dominic Wechsler Jr. Physician Assistant 9114 Autumn Skies, San Antonio, TX 78254-1929 2020-07-13
1396368015 Maureen Genov Physician Assistant 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 2020-05-28
1386266062 Sun Assist, Pllc Physician Assistant 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 2020-05-15
1134758964 Mark Lee Nentwig Physician Assistant 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 2020-04-03
1962034694 Christina L Russell Physician Assistant 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 2020-02-11
1265071203 Caralyne Sandquist Physician Assistant 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 2019-12-21
1447808498 Elizabeth Ann Blair Physician Assistant 24623 Birdie Rdg, San Antonio, TX 78260-7847 2019-09-03
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78229

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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