Dominguez, Leonardo

Dominguez, Leonardo is an individual health care provider with primary practice located at 3601 4Th St 2A100, Lubbock TX 79430-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dominguez, Leonardo can be contacted via phone (806) 743-2020.

Contact Information

Primary practice address
3601 4Th St 2A100 Lubbock TX 79430-0002
Phone: (806) 743-2020
Fax: (806) 743-1782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 44328 Texas

Profile Details

NPI number 1114917424
LBN Legal business name Dominguez, Leonardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Nov 18th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114917424 NPPES
Oklahoma MEDICAID 100846300A
Oklahoma MEDICAID 71180036
Oklahoma Other 79540
Oklahoma MEDICAID 131456101
Oklahoma Other 131456100
Oklahoma MEDICAID 154559202
Oklahoma MEDICAID 154559201
Oklahoma Other 8G7980
Oklahoma Other B017
Oklahoma MEDICAID 79540
Oklahoma Other 86979Z

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