Provider Demographics
NPI:1770559114
Name:DOMINGUEZ, JOSEPH ARTHUR III (APA-C)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ARTHUR
Last Name:DOMINGUEZ
Suffix:III
Gender:M
Credentials:APA-C
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Mailing Address - Street 1:22331 SAVANNAH LK
Mailing Address - Street 2:
Mailing Address - City:VON ORMY
Mailing Address - State:TX
Mailing Address - Zip Code:78073-3022
Mailing Address - Country:US
Mailing Address - Phone:210-860-7214
Mailing Address - Fax:
Practice Address - Street 1:2106 W OAKLAWN RD
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:TX
Practice Address - Zip Code:78064-4609
Practice Address - Country:US
Practice Address - Phone:830-569-1950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-26
Last Update Date:2025-02-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN