Dominion Provider Services, Llc

LBN: Dominion Provider Services, Llc
Dominion Provider Services, Llc is an health care organization with primary practice located at 1008 E Hillside Rd , Laredo TX 78041-3287. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Dominion Provider Services, Llc can be contacted via phone (956) 568-3979, or through Hinojosa, Maria Elena via phone (956) 568-3979.

Contact Information

Primary practice address
1008 E Hillside Rd Laredo TX 78041-3287
Phone: (956) 568-3979
Fax: (956) 568-4014
Website:
Map and Directions
Authorized official contact:
Name: Hinojosa, Maria Elena
Phone: (956) 568-3979

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 016977 Texas

Profile Details

NPI number 1205386455
LBN Legal business name Dominion Provider Services, Llc
DBA Doing business as
Authorized official Hinojosa, Maria Elena
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2016
Last updated Oct 12th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205386455 NPPES
Texas MEDICAID 016977

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