Individual provider · Type 1 NPI
Lydia Dominguez, FNP
Family Nurse Practitioner · Santa Rosa, TX
NPI number
1689975153
Active
Practice location
Highway 107 & La Feria Ave.
Santa Rosa, TX 78593
Fax (956) 365-6072
Mailing address
1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 255020 (TX) |
Family Nurse Practitioner: Definition to come...
About NPI 1689975153
Lydia Dominguez, FNP's National Provider Identifier is 1689975153, issued on Nov 15, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Santa Rosa, TX. The record was last updated on Nov 15, 2010.