| Ivan Dominguez, SPT ATC LAT | |
|
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
| (210) 916-5658 | |
| (210) 271-0830 |
| Full Name | Ivan Dominguez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083065130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1335011 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Dominguez, SPT ATC LAT 3698 Chambers Pass Bldg 3611, San Antonio, TX 78234-7766 Ph: (210) 916-5658 | Ivan Dominguez, SPT ATC LAT 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-5658 |
Conrad Gregory Hawkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (crendentials), Fort Sam Houston, TX 78234 Phone: 210-916-2460 Fax: 210-916-5102 | |
Matthew Luke Larson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-295-4018 | |
Anita Margot Dietz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-808-2226 Fax: 210-808-2225 | |
Dr. Jamie Nicole Velez, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-808-2274 | |
Dr. William Roger Allen Iii, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Lindsey Umlauf, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 832-372-0706 |