Organization
DR. JOSE LUIS PADILLA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LUIS PADILLA DDS (CEO)
(956) 393-9855
Entity
Organization
Contact information
Practice address
4451 S JACKSON RD STE B&C, EDINBURG, TX 78539-7832
(956) 393-9855
Mailing address
5103 JUNO CT, EDINBURG, TX 78539-0246
(956) 393-9855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841701471
PERSONAL NPI
TX
Enumeration date
01/04/2022
Last updated
02/24/2023
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