Joan Vicencio Domingo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F1290 Issued in TX

Practice address

927 Shaw Ave
Pasadena, TX 77506-1430

Phone

(713) 982-5900

Fax

(713) 982-5944

NPI assigned

Oct 17, 2006

Last updated

Feb 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1548340888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 SHAW AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775061430",
            "telephone_number": "713-982-5900",
            "fax_number": "713-982-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 SHAW AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775061430",
            "telephone_number": "713-982-5900",
            "fax_number": "713-982-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "JOAN",
        "middle_name": "VICENCIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F1290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mylene Santos Dizon
• DK Sanders, PSYD & Associates, Inc.
• Jimmy Dung Doan, M.D.
• George Dale Dodd, DDS
• Kristi Rene Dodson-Conner, FNP-BC
• San Juanita Dominguez, M.S., SLP INTERN
• Andrea R. Donart, LCSW
• Joanna Elizabeth Dong
• Dustin Ray Dorflinger, AGACNP-BC
• Allen Ray Dorsett, D.O.

• Internal Medicine Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.