Organization
PADRON WELLNESS CLINIC PLLC
Active
Other names
Padron Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLAS A PADRON M.D. (PRESIDENT/OWNER)
(214) 321-4917
Entity
Organization
Contact information
Practice address
1000 EMERALD ISLE DR STE 107, DALLAS, TX 75218-3949
(214) 321-4917
(214) 321-4914
Mailing address
381 CASA LINDA PLZ # 353, DALLAS, TX 75218-3471
(214) 321-4917
(214) 321-4914
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
H2662
TX
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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