NPI 1033494240

Padron Wellness Clinic PLLC

Organisation Point of Service Dallas, TX

Practice location

Address: 1000 Emerald Isle Dr STE 107, Dallas, TX 75218-3949
Phone: (214) 321-4917
Fax: (214) 321-4914
Mailing address: 381 Casa Linda Plz # 353, Dallas, TX 75218-3471

Authorised official

Name: Nicolas a Padron
Title: President/Owner
Phone: (214) 321-4917

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence H2662 (TX)

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Registry record

NPI: 1033494240
Entity type: Organization
NPI issued: 19 Oct 2011
Record last updated: 19 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.