Jason Roland Dominguez, PA-C Valid NPI

Individual provider · Physician Assistant · Odessa, TX

NPI

1861608424

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA04351 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-14

Last updated

2007-07-08