Padron Wellness Clinic PLLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

H2662 Issued in TX

Legal business name

PADRON WELLNESS CLINIC PLLC

Doing business as

Padron Wellness Clinic

Practice address

1000 Emerald Isle Dr Ste 107
Dallas, TX 75218-3949

Phone

(214) 321-4917

Fax

(214) 321-4914

NPI assigned

Oct 19, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nicolas A Padron, M.D.

Title

President/Owner

Phone

(214) 321-4917

Specialties & licenses 1

Addresses

Other names 1

• Padron Wellness Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1033494240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 CASA LINDA PLZ # 353",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183471",
            "telephone_number": "214-321-4917",
            "fax_number": "214-321-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EMERALD ISLE DR STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183949",
            "telephone_number": "214-321-4917",
            "fax_number": "214-321-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADRON WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "PADRON",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-321-4917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "H2662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Padron Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mario Alberto Padilla, AGACNP-BC
• Marlon D. Padilla, M.D.
• Mildred Padilla
• Veronica Padilla, FNP
• Ram Padmanabhan, M.D.
• Angeles Khrystal Padron, ACNPC-AG
• Morgan Padron
• Padua Health, Inc
• Preston Matthew Padua
• Josh Paek, D.C.

• Point of Service in Dallas, TX
• Providers in Dallas, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.