Dominguez, Thomas Paul
Dominguez, Thomas Paul is an individual health care provider with primary practice located at 625 Truman St Ne , Albuquerque NM 87110-6443. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Dominguez, Thomas Paul can be contacted via phone (505) 938-7146.Contact Information
Primary practice address
625 Truman St Ne
Albuquerque NM 87110-6443
Phone: (505) 938-7146
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 0859 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0859 | New Mexico |
Profile Details
| NPI number | 1437346566 |
|---|---|
| LBN Legal business name | Dominguez, Thomas Paul |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2007 |
| Last updated | Oct 2nd, 2007 - about 18 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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