Individual
JACOB THOMAS PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ASL
Contact information
Practice address
1090 MED PARK DR., LAS CRUCES, NM 88005-3236
(575) 523-7243
(575) 525-5641
Mailing address
301 PERKINS DR., STE C, LAS CRUCES, NM 88005-3248
(575) 523-7243
(575) 525-5641
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2025-0068
NM
235Z00000X
Speech-Language Pathologist
SLPA7463
NM
Other
Enumeration date
08/04/2022
Last updated
01/15/2026
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