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Individual

ALEXANDER J PADILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSA

Contact information

Practice address
9119 GLENFAIR CT, SPRING, TX 77379-3743
(713) 426-3023
Mailing address
9119 GLENFAIR CT, SPRING, TX 77379-3743
(713) 426-3023

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
CSA-08108
TX
363AS0400X
Surgical Physician Assistant
SA-0130
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SA0130
STATE LICENCE
DC
Enumeration date
02/23/2011
Last updated
04/05/2016
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