Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dominique Blancett Mercado, PA

Individual provider Physician Assistant · NPI 1497453997

Dominique Blancett Mercado, PA is a Physician Assistant in Lackland AFB, Texas. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1100 Wilford Hall Loop Bldg 4554
Lackland AFB, TX 78236-5638
Phone: (210) 292-2003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 — (210) 916-4141

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14189982-1206 (UT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1497453997
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 23, 2023
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

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