Individual
MARIO ALBERTO PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2088
(214) 820-3256
Mailing address
6374 COUNTY ROAD 4508, ATHENS, TX 75752-6449
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1048719
TX
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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