MR. JORGE DOMINGUEZ NPI 1306399290

NPI Information

NPI: 1306399290
Provider Name: MR. JORGE DOMINGUEZ
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2004 WESTWOOD DR
PORTLAND, TX
ZIP 78374
Phone: (956) 740-2661
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MR. Jorge Dominguez is a professional counselor in Portland, TX. MR. Jorge Dominguez NPI is 1306399290. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2004 WESTWOOD DR
PORTLAND, TX
ZIP 78374-007
Phone: (956) 740-2661

The enumeration date for this NPI number is 7/27/2016 and was last updated on 7/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	12693	TEXAS	No
2	101YP2500X	Counselor	Professional	72077	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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