Dominguez, Jorge

Dominguez, Jorge is an sole proprietor health care provider with primary practice located at 2004 Westwood Dr , Portland TX 78374-3007. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Dominguez, Jorge can be contacted via phone (956) 740-2661.

Contact Information

Primary practice address
2004 Westwood Dr Portland TX 78374-3007
Phone: (956) 740-2661
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12693 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 72077 Texas

Profile Details

NPI number 1306399290
LBN Legal business name Dominguez, Jorge
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2016
Last updated Jul 27th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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