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

Mr. Leroy Anthony Domino, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1194824136

Mr. Leroy Anthony Domino, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Webster, Texas. Qualified in 2004, 22 years ago. Practices with UTMB Faculty Group Practice, a 1,074-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
22
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

200 Blossom St
Webster, TX 77598-4204
Phone: (832) 632-6372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP114089 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 663623 (TX)

Record details

NPI number1194824136
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Utmb Faculty Group Practice — 1074 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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