Mercado, Dominique Blancett
Mercado, Dominique Blancett is an individual health care provider with primary practice located at 1100 Wilford Hall Loop Bldg 4554 , Lackland Afb TX 78236-5638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mercado, Dominique Blancett can be contacted via phone (210) 292-2003.Contact Information
Primary practice address
1100 Wilford Hall Loop Bldg 4554
Lackland Afb TX 78236-5638
Phone: (210) 292-2003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1497453997 |
|---|---|
| LBN Legal business name | Mercado, Dominique Blancett |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2023 |
| Last updated | Mar 20th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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