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DOMINIQUE BLANCETT MERCADO PA
NPI 1497453997
Physician Assistant in Lackland Afb, TX

Active since February 23, 2023
1100 WILFORD HALL LOOP BLDG 4554, LACKLAND AFB, TX 78236(210) 292-2003 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2023, Feb 23, 2023 (2 updates tracked since 2023).

About Dominique Blancett Mercado Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE BLANCETT MERCADO PA (NPI 1497453997) is an individual physician assistant in Lackland Afb, Texas, licensed in Utah (14189982-1206) and active in the NPI registry since February 2023. She maintains a secondary practice location in Jbsa Ft Sam Houston.

NPPES Registry Identity

NPI1497453997
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDOMINIQUE BLANCETT MERCADOCredential: PA
Location Address1100 WILFORD HALL LOOP BLDG 4554Lackland Afb, TX 78236-5638
Mailing Address1100 Wilford Hall Loop Bldg 4554Lackland Afb, TX 78236-5638 · (210) 292-2003
Phone(210) 292-2003
Sole ProprietorNo
Enumeration DateFebruary 23, 2023
Last NPPES UpdateJanuary 15, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
✔ NPI 1497453997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 14189982-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1100 WILFORD HALL LOOP BLDG 4554, Lackland Afb, TX 78236
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Secondary Practice Location 1

Location 13551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504 · Phone (210) 916-4141

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REGINA MARIA REINSVOLD M.D.
Anesthesiology
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Bexar County (210) 292-6255
ROBERT LEE LMFT
Marriage & Family Therapist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6255
DR. FINIANNE JIMENEZ UMALI-CORRY DO, MPH
Internal Medicine
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Bexar County (210) 292-4277
DAVID CHRISTOPHER MARI D.O.
Allergy & Immunology
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6255
DR. HANNAH GHONG-JU AHN MD
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-4482
MRS. CASSANDRA LANETTE DOUGLAS PHARMACIST
Pharmacist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (102) 292-1144
DR. CHARLES RICHARD ELCHERT JR. D.C.
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-3587
DR. LISA LEADER KOHLER OD
Optometrist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Mercado's NPI number?

The NPI number for Dominique Mercado is 1497453997. It was assigned to this individual provider in the NPPES registry on February 23, 2023.

Where is Dominique Mercado located?

Dominique Mercado practices at 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236. The listed phone number is (210) 292-2003.

What is Dominique Mercado's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Dominique Mercado was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.