Guadalupe R Dominguez in North Las Vegas - Physician Assistant

Guadalupe R Dominguez - NPI 1649268913

Guadalupe R Dominguez is a Physician Assistant in North Las Vegas, Nevada. Guadalupe R Dominguez practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Guadalupe R Dominguez is 1649268913. The last update date is 2020-11-18.

Guadalupe R Dominguez's current location address is 1905 Civic Center Dr, North Las Vegas, Nevada. You can contact this provider via phone number 7028779514 and fax number 7023123510. The mailing address for Guadalupe R Dominguez is 1905 Civic Center Dr, North Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Guadalupe R Dominguez
Address 1905 Civic Center Dr, North Las Vegas, Nevada
Phone Number 7028779514
Fax Number 7023123510
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1649268913
Provider Enumeration Date 2005-10-11
Last Updated Date 2020-11-18

Provider Mailing Address Detail

Address 1905 Civic Center Dr
City North Las Vegas
State Nevada (NV)
Post Code 890307143
Phone Number 7028779514
Fax Number 7023123510

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA849
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 perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1649268913 NV --

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FAQs about Guadalupe R Dominguez

What is the unique provider identifier assigned to Guadalupe R Dominguez?

The Guadalupe R Dominguez has been issued the NPI (National Provider Identifier) 1649268913 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

What is Guadalupe R Dominguez's area of expertise and its corresponding taxonomy classification?

The Guadalupe R Dominguez's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

What is Guadalupe R Dominguez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Guadalupe R Dominguez is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When did Guadalupe R Dominguez receive its 1649268913 assignment?

The Guadalupe R Dominguez was assigned its 1649268913 on 2005-10-11, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Guadalupe R Dominguez last refreshed?

The information related to the Guadalupe R Dominguez, including its address, specialty, and other relevant details, was last updated on 2020-11-18.

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