Dominguez, Laura Marie
Dominguez, Laura Marie is an individual health care provider with primary practice located at 300 S Nolen Dr Ste 100 , Southlake TX 76092-8057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Dominguez, Laura Marie can be contacted via phone (817) 989-2400.Contact Information
Primary practice address
300 S Nolen Dr Ste 100
Southlake TX 76092-8057
Phone: (817) 989-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | P9329 | Texas |
Profile Details
| NPI number | 1649407925 |
|---|---|
| LBN Legal business name | Dominguez, Laura Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2009 |
| Last updated | Nov 20th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649407925 | NPPES |
| Texas | Other | 336345902 | CSHCN |
| Texas | MEDICAID | 336345901 | CSHCN |
Popular Providers
-
Hudnall, John Franklin
3413 Golden Rd , Tyler TX 75701-8355 -
Garb, Howard Scott
1136 E Grande Blvd , Tyler TX 75703-3982 -
Lee, John W
2000 10Th Ave Ste 410 , Columbus GA 31901-3714 -
Pitts, David B.
3650 Mansell Rd Ste 100 , Alpharetta GA 30022-3068 -
Rihani, Jordan
521W Southlake Blvd 175 , Southlake TX 76092-6175 -
Roberge, Natalie A
2727 E Southlake Blvd , Southlake TX 76092-6613 -
Isaacson, Glenn C
3509 N Broad St , Philadelphia PA 19140 -
Vandelden, Mahlon
1000 W Nifong Blvd Building 3, Suite 100, Columbia MO 65203-5615