NPI 1376943688

Ron Desmond Dominy, LPCPBOCP

Practitioner Prosthetist Round Rock, TX

Practice location

Address: 555 Round Rock West Dr Suite 100-D, Round Rock, TX 78681-5052
Phone: (512) 341-3700
Fax: (512) 341-3738

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 595 (TX)

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Registry record

NPI: 1376943688
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2014
Record last updated: 25 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.