MEDICARE: DOMINION FAMILY HEALTHCARE PLLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1669972659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOMINION FAMILY HEALTHCARE PLLC

Provider Business Mailing Address
First Line	:	25843 SCENIC ROCK
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78255-2373
Country	:	US
Telephone Number	:	254-629-2747
Fax Number	:	888-630-1983

Provider Business Practice Location Address
First Line	:	23119 W INTERSTATE 10 BLDG 9
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-1689
Country	:	US
Telephone Number	:	210-944-8855
Fax Number	:	210-538-5047

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. RASHID ATIQUE
Credential	:	MD
Telephone Number	:	210-944-8855

Provider Enumeration Date	:	02/15/2018
Last Update Date	:	07/03/2025

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