Frederick Rae Dominguez, CPHT
Individual provider Active NPI Pharmacy Technician · Alamo, TX
NPI 1336730829 · NPPES record last updated Feb 1, 2021
Key facts
- NPI
- 1336730829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 166292 (TX)
- Practice address
- 1211 East Frontage Rd
Alamo, TX 78516 - Phone
- (956) 702-7550
- Fax
- (956) 702-0612
- NPI assigned
- Jan 28, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166292 | TX | MD | Pharmacy Technician |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 166292 | TX | Yes |
Addresses
Primary practice location
1211 East Frontage Rd
Alamo, TX 78516
Mailing address
1211 East Frontage Rd
Alamo, TX 78516
Phone (956) 702-7550
Other providers in Alamo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.