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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE BLANCETT MERCADO, PA

Active

DOMINIQUE BLANCETT MERCADO, PA is a Physician Assistant healthcare provider located in LACKLAND AFB, Texas. NPI 1497453997 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LACKLAND AFB, TX

Registration Details

NPI Number
1497453997
Provider Type
Individual
Gender
Female
NPI Issued
Feb 23, 2023 (3.4628305581872 yrs)
Last Updated
Jan 15, 2025
License
14189982-1206 (UT)

Practice Information

Address
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX, 782365638
Browse TX providers · Browse ZIP 78236
Phone
2102922003
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LACKLAND AFB, TX

Name Credential NPI
RICHARD V RAY PA-C 1154310522
DENNIS JAY ROBINSON PHYSICIAN ASSISTANT 1225016694
MS. MELODY VINSON 1629056064
RENE MARIE MCQUEEN PA-C 1467430421
MRS. KATHRYN ELIZABETH KASPER PA-C 1700081627
MR. ANTONIO ORTIZ-GARCIA PA 1386890929
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.