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NPI Code Detail

MEDICARE: LILIANA DOMINGUEZ

MEDICARE: LILIANA DOMINGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant33631TX
2235Z00000XSpeech-Language Pathologist110283TX

General Provider Information

NPI Number : 1629402649
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIANA DOMINGUEZ
Provider Business Mailing Address
First Line : 10300 JONES RD
Second Line :
City : HOUSTON
State : TX
Zip : 77065-4208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10300 JONES RD
Second Line :
City : HOUSTON
State : TX
Zip : 77065-4208
Country : US
Telephone Number : 281-897-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2013
Last Update Date : 09/23/2022

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Directions to “ LILIANA DOMINGUEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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