Kenneth William Domuczicz JR. MD

NPI 1043275258 - Emergency Medicine - 207P00000X

NPI Details
NPI 1043275258
Gender Male
Enumeration Date 04/19/2006
Last Updated 03/25/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1201 W 38TH ST
#101
AUSTIN TX, 78705-1006, US
Phone (512) 324-1010
Fax
Business Location
4801 FAWN RUN
AUSTIN TX, 78735-6404, US
Phone
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Texas
License Number L6865
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According to our database, Kenneth William Domuczicz JR. MD NPI is 1043275258, taxonomy code is 207P00000X and license number is L6865, license state is located at Texas. Kenneth William Domuczicz JR. MD physically located at 1201 W 38th St, Austin TX, 78705-1006. NPI Number Kenneth William Domuczicz JR. MD has the Individual type.

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1043275258 NPI number is provided on an as is basis without warranty of any kind. 1043275258 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth William Domuczicz JR. MD are for informational purposes only.