Individual
ANGELES KHRYSTAL PADRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
13154 COIT RD STE 100, DALLAS, TX 75240-5787
(214) 358-2300
(214) 579-6989
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 579-6941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1147107
TX
363LG0600X
Gerontology Nurse Practitioner
1147107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1147107
NURSES LICENSE
TX
Enumeration date
06/03/2024
Last updated
03/05/2025
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