Individual
LORD JOSEPH VIRATA PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1755 WITTINGTON PL, DALLAS, TX 75234-1927
(866) 221-5405
Mailing address
1755 WITTINGTON PL STE 175, DALLAS, TX 75234-1927
(866) 221-5405
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070.020514
TX
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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