MEDICARE: W PADILLA AND ASSOCIATES PA

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
1	207RC0000X	Cardiovascular Disease Physician
2	207Q00000X	Family Medicine Physician		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649400078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	W PADILLA AND ASSOCIATES PA

Provider Business Mailing Address
First Line	:	2502 CANAL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77003-1523
Country	:	US
Telephone Number	:	713-224-0555
Fax Number	:	713-224-1918

Provider Business Practice Location Address
First Line	:	2502 CANAL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77003-1523
Country	:	US
Telephone Number	:	713-224-0555
Fax Number	:	713-224-1918

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. WILLIAM J PADILLA
Credential	:	MD
Telephone Number	:	713-224-0555

Provider Enumeration Date	:	07/20/2009
Last Update Date	:	07/29/2019

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