# DR. JOSE LUIS PADILLA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659032456
- **Authorized official:** DR. JOSE LUIS PADILLA DDS (CEO)
- **Authorized official phone:** (956) 393-9855

## Contact information

- **Practice address:** 4451 S JACKSON RD STE B&C, EDINBURG, TX 78539-7832
- **Practice address phone:** (956) 393-9855
- **Mailing address:** 5103 JUNO CT, EDINBURG, TX 78539-0246
- **Mailing address phone:** (956) 393-9855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2022
- **Last updated:** 02/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1841701471 | PERSONAL NPI | TX |