Healthcare Provider Details

I. General information

NPI: 1306777347
Provider Name (Legal Business Name): ADRIANA PAOLA MCARDLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 KOHLERS XING
KYLE TX
78640-2460
US

IV. Provider business mailing address

9314 RYDER DR
SAN ANTONIO TX
78254-2000
US

V. Phone/Fax

Practice location:
  • Phone: 737-240-3587
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: