Physician Assistant
DOMINIQUE MACK
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1003603689 · enumerated 2025-04-24 · record updated 2025-04-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1813 N 73RD ST, OMAHA, NE, 68114-1905 (402) 991-5070 Google Maps Apple Maps OpenStreetMap
- Mailing address 1813 N 73RD ST, OMAHA, NE, 68114-1905 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License H14171394 NE
In this directory
Locations and evidence
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Practice location
OMAHA, NE, 681141905
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.