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NPI Code Detail

MEDICARE: JUNE PADILLA CNNP

MEDICARE:   JUNE  PADILLA  CNNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WN0002XNeonatal Intensive Care Registered Nurse627292TX
2363LN0000XNeonatal Nurse PractitionerAP112041TX

General Provider Information

NPI Number : 1235505033
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNE PADILLA CNNP
Provider Business Mailing Address
First Line : 20606 BOUGANVILLA BLOSSOM LN
Second Line :
City : CYPRESS
State : TX
Zip : 77433-6049
Country : US
Telephone Number : 713-376-7485
Fax Number :
Provider Business Practice Location Address
First Line : 6411 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 713-704-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2015
Last Update Date : 06/24/2024

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Directions to “ JUNE PADILLA CNNP” Practice Location

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