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NPI Code Detail

MEDICARE: OSCAR PADILLA RIOS CNIM 3338

MEDICARE: OSCAR PADILLA RIOS CNIM 3338
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
1246ZE0600XElectroneurodiagnostic Specialist/Technologist3338TX

General Provider Information

NPI Number : 1508315755
Entity Type Code : Individual
Provider Name (Legal Business Name) : OSCAR PADILLA RIOS CNIM 3338
Provider Business Mailing Address
First Line : 1356 OLD CREEK DR
Second Line :
City : TYLER
State : TX
Zip : 75703-7642
Country : US
Telephone Number : 903-534-0809
Fax Number : 903-939-9149
Provider Business Practice Location Address
First Line : 1356 OLD CREEK DR
Second Line :
City : TYLER
State : TX
Zip : 75703-7642
Country : US
Telephone Number : 903-534-0809
Fax Number : 903-939-9149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2016
Last Update Date : 07/11/2019

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Directions to “ OSCAR PADILLA RIOS CNIM 3338” Practice Location

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