Individual
GRACIE PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(252) 202-2000
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491
(254) 202-9330
(254) 202-9349
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1033754
TX
Other
Enumeration date
04/20/2021
Last updated
07/07/2021
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