Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVAN DOMINGUEZ, SPT ATC LAT
Active Sole ProprietorIVAN DOMINGUEZ, SPT ATC LAT is a Physical Therapy Assistant healthcare provider located in FORT SAM HOUSTON, Texas. NPI 1083065130 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FORT SAM HOUSTON, TX
Registration Details
- NPI Number
- 1083065130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2016 (10.136906811744 yrs)
- Last Updated
- Nov 2, 2023
- License
-
1335011 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3551 ROGER BROOKE DRFORT SAM HOUSTON, TX, 782344504Browse TX providers · Browse ZIP 78234
- Phone
- 2109165658
- Fax
- 2102710830
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FORT SAM HOUSTON, TX
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL ROBERT GANNINGER | PT, MED, MPT | 1154316891 |
| DR. BENJAMIN ROBERT HANDO | PT, DSC | 1427043108 |
| TIMOTHY MARC SKINNER | DPT | 1972593879 |
| DR. JASON SILVERNAIL | DPT, DSC | 1508857178 |
| MS. LISA ELLEN DUBIK-EPSTEIN | P.T. | 1992796494 |
| CHAD MICHAEL FLICK | DPT | 1841281359 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.