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NPI Code Detail

MEDICARE: ALEXANDER J PADILLA LSA

MEDICARE:   ALEXANDER J PADILLA  LSA
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
1363AS0400XSurgical Physician AssistantCSA-08108TX
2363AS0400XSurgical Physician AssistantSA-0130DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SA0130OTHERDCSTATE LICENCE

General Provider Information

NPI Number : 1700183985
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER J PADILLA LSA
Provider Business Mailing Address
First Line : 9119 GLENFAIR CT
Second Line :
City : SPRING
State : TX
Zip : 77379-3743
Country : US
Telephone Number : 713-426-3023
Fax Number :
Provider Business Practice Location Address
First Line : 9119 GLENFAIR CT
Second Line :
City : SPRING
State : TX
Zip : 77379-3743
Country : US
Telephone Number : 713-426-3023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2011
Last Update Date : 04/05/2016

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Directions to “ ALEXANDER J PADILLA LSA” Practice Location

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