Individual
DIANA M PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 MAGDALENA AVE, BROWNSVILLE, TX 78526-3671
(956) 266-7885
Mailing address
2412 MAGDALENA AVE, BROWNSVILLE, TX 78526-3671
(956) 266-7885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169033101
—
TX
01
—
45-4849
MEDICARE
TX
Enumeration date
02/11/2013
Last updated
11/08/2023
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