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Contact Information

DOMINGO C SIFUENTES III, LAT
12221 LESLIE RD
HELOTES, TX78023
 Phone: 210-884-5330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for DOMINGO C SIFUENTES III · (Male)

NPI # 1114448933
Status Active
Credentials LAT
Entity Individual
Enumeration date 07/01/2017
Last updated 07/01/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • TX License # AT4161
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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