Individual
ALYSSA PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 LIPSCOMB ST, FORT WORTH, TX 76104-3130
(972) 544-6600
Mailing address
1023 LIPSCOMB ST, FORT WORTH, TX 76104-3130
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2022
Last updated
10/03/2024
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