PADRON WELLNESS CLINIC PLLC
Managed Care Organizations at Emerald Isle Dr, Dallas, TX

License number
Texas H2662
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. NICOLAS A PADRON M.D.
Title: PRESIDENT/OWNER
Phone: (214) 321-4917
Address
Address
1000 Emerald Isle Dr STE 107, Dallas, TX 75218
National Provider ID: 1033494240
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PADRON WELLNESS CLINIC PLLC

Dallas, TX

Status:
Inactive
Doing business as:
Padron Wellness Clinic Pllc
Registration:
Sep 10, 2010
Addresses:
381 Garland Rd #353, Dallas, TX 75218 (Mailing)
9540 Casa Linda Plz, Dallas, TX 75218
381 Casa Linda Plz, Dallas, TX 75218
State ID:
0801316606
Business type:
Domestic Limited Liability Company (LLC)
PRESIDENT, Family Practitioner, Principal, President, Director:
Nicolas A Padron PRESIDENT, Family Practitioner, Principal, President, Director, inactive, 381 Casa Linda Plz #353, Dallas, TX 75218
Agent:
Nicolas Alfonso Padron,381 Casa Linda Plz #353, Dallas, TX 75218 (Physical)
TIN:
32042609480

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