Individual
DR. HUMBERTO PALLADINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10175 GATEWAY BLVD W, SUITE 210, EL PASO, TX 79925-7618
(915) 590-7900
(915) 590-7902
Mailing address
10175 GATEWAY BLVD W, SUITE 210, EL PASO, TX 79925-7618
(915) 590-7900
(915) 590-7902
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP20019087
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
104625
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281643103
—
TX
01
—
8CU427
BCBS OF TEXAS
—
05
—
ENROLLED
—
MN
Enumeration date
06/30/2008
Last updated
08/12/2013
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