Healthcare Provider Details

I. General information

NPI: 1326370404
Provider Name (Legal Business Name): DORINDA M ESCAMILLA-PADILLA PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2010
Last Update Date: 06/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7703 FLOYD CURL DR MC7977
SAN ANTONIO TX
78229-3901
US

IV. Provider business mailing address

7703 FLOYD CURL DR MC7977
SAN ANTONIO TX
78229-3901
US

V. Phone/Fax

Practice location:
  • Phone: 210-257-1400
  • Fax: 210-257-1428
Mailing address:
  • Phone: 210-257-1400
  • Fax: 210-257-1428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number555441
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: