Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | S0659 | TX |
NPI | 1609273663 |
---|---|
Provider Name | Endy Aaron Dominguez Silveyra |
First Address | Brooklyn, NY 11206-5317 |
Second Address | El Paso, TX 79905-2709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2014 |
Last Update Date | 08/07/2019 |