Dominique Blancett Mercado, PA
NPI #1497453997 in Lackland Afb, Texas
Provider Information
- NPI Number
- 1497453997
- Entity Type
- Individual
- Name
- Dominique Blancett Mercado, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Feb 23, 2023
- Last Updated
- Jan 15, 2025
Practice Location
- Address
- 1100 WILFORD HALL LOOP BLDG 4554
- City
- Lackland Afb
- State
- Texas
- ZIP Code
- 78236-5638
- Phone
- (210) 292-2003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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