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

Leah Marie Grove Dominguez, FNP

Individual provider Family Nurse Practitioner · NPI 1750911483

Leah Marie Grove Dominguez, FNP is a Nurse Practitioner in San Antonio, Texas. Qualified in 2019, 7 years ago. Practices with South Texas Ancillary Services Ltd, a 29-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

517 SW Military Dr Ste 106
San Antonio, TX 78221-1639
Phone: (210) 921-0322
Fax: (210) 921-1451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15115 Pintail, San Antonio, TX 78253-6506 — (210) 788-8221
  • 525 Oak Centre Dr Ste 140, San Antonio, TX 78258-3916 — (210) 504-3650

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP144549 (TX)

Record details

NPI number1750911483
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice South Texas Ancillary Services Ltd — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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