Jason Roland Dominguez in Odessa - Physician Assistant
Jason Roland Dominguez - NPI 1861608424
Jason Roland Dominguez is a Physician Assistant in Odessa, Texas. Jason Roland Dominguez practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jason Roland Dominguez is 1861608424. The last update date is 2007-07-08.
Jason Roland Dominguez's current location address is 6213 Glenhaven Dr, Odessa, Texas. You can contact this provider via phone number 4323620299. The mailing address for Jason Roland Dominguez is 6213 Glenhaven Dr, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jason Roland Dominguez |
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Address | 6213 Glenhaven Dr, Odessa, Texas |
Phone Number | 4323620299 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1861608424 |
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Provider Enumeration Date | 2007-05-14 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 6213 Glenhaven Dr |
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City | Odessa |
State | Texas (TX) |
Post Code | 797625022 |
Phone Number | 4323620299 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA04351 |
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 |
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What is the Jason Roland Dominguez's 1861608424?
The Jason Roland Dominguez's NPI (National Provider Identifier) Number is 1861608424. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jason Roland Dominguez is physically located?
The Jason Roland Dominguez is physically situated at the following address: 6213 Glenhaven Dr, Odessa, TX, 797625022.
What is Jason Roland Dominguez's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jason Roland Dominguez is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1861608424 assigned to Jason Roland Dominguez?
The Jason Roland Dominguez was issued its 1861608424 on 2007-05-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jason Roland Dominguez last refreshed?
The information related to the Jason Roland Dominguez, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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