Victor Dominguez, AGACNP
Individual provider Active NPI Acute Care Nurse Practitioner · El Paso, TX
NPI 1447688981 · NPPES record last updated Aug 6, 2015
Key facts
- NPI
- 1447688981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- AP124616 (TX)
- Practice address
- 1700 E Cliff Dr
BLDG a Ste 200
El Paso, TX 79902-5192 - Phone
- (915) 577-9009
- Fax
- (915) 577-9006
- NPI assigned
- Oct 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BHS Physicians Network, Inc
Practice addresses (Care Compare)
3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400
PO Box
Suite 5730
Belfast, ME 04915-5700
Hospital & facility affiliations
- Sierra Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151016001676 | TX | Practitioner - Nurse Practitioner | 8426367293 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current |
Accepting new patients | |
| BHS Physicians Network, Inc | Current |
Accepting new patients | |
| BHS Specialty Network Inc | Past | Accepting new patients |
Locations
1700 E Cliff Dr
Ste 200
El Paso, TX 79902
Phone (915) 577-9009
3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP124616 | TX | Yes |
Addresses
Primary practice location
1700 E Cliff Dr
BLDG a Ste 200
El Paso, TX 79902-5192
Mailing address
1700 E Cliff Dr
BLDG a Ste 200
El Paso, TX 79902-5192
Phone (915) 577-9009
Other providers in El Paso, TX
- Robert Dominguez
- Rosie Lugo Dominguez
- Rossalee Dominguez
- Sara Dominguez
- Stacy Dominguez
- Viviana Amanda Dominguez
- Zaraida A Dominguez
- Dominion Ambulance, LLC
- Dominion Medical Services, PLLC
- Don L PLLC
All providers in El Paso, TX · Acute Care Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.