PADRON WELLNESS CLINIC PLLC (NPI# 1033494240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033494240 |
Entity Type | Organization |
Organization Name | PADRON WELLNESS CLINIC PLLC |
Other Organization Name | PADRON WELLNESS CLINIC |
Practice Address |
1000 Emerald Isle Dr Ste 107 Dallas TX 75218-3949 |
Mailing Address |
381 Casa Linda Plz # 353 Dallas TX 75218-3471 |
Practice Telephone | 2143214917 |
Practice Fax Number | 2143214914 |
Mailing Telephone | 2143214917 |
Mailing Fax Number | 2143214914 |
Enumeration Date | 2011-10-19 |
Last Update Date | 2011-10-19 |
Authorized Official Name | DR. NICOLAS A PADRON (PRESIDENT/OWNER) |
Authorized Official Telephone | 2143214917 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | H2662 | TX | Managed Care Organizations |
Other Name | Type Code |
---|---|
Padron Wellness Clinic | Doing Business As Name - Organization |
Street Address |
1000 EMERALD ISLE DR STE 107 |
City | DALLAS |
State | TX |
Zip Code | 75218-3949 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407412034 | Sunaina Shalu Gill | Specialist/Technologist | 718 North Buckner Boulevard, #312, Dallas, TX 75218 | 2019-05-20 |
1851896492 | Tawana Anderson Floyd | Occupational Therapy Assistant | 718 Buckner Blvd, #312, Dallas, TX 75218 | 2018-03-26 |
1164948097 | Behavioral Health Connections, Inc. | Psychiatry & Neurology | 1350 N. Buckner Blvd., Ste. 100, Dallas, TX 75218 | 2017-08-22 |
1083988729 | Paras Bharatkumar Patel | Dentist | 12316 Coolmeadow Lane, Dallas, TX 75218 | 2012-02-27 |
1881990216 | Dallas Doctors Pain Clinic | Pain Medicine | 1110 N. Buckner Blvd., Suite 100, Dallas, TX 75218 | 2011-02-02 |
1861719387 | Mi Familia Medical Pllc | General Practice | 1100 Garland Road, Dallas, TX 75218 | 2010-04-23 |
1972832541 | James Ervin Bridges | Chiropractor | 1214 Old Gate Ln, Dallas, TX 75218 | 2009-12-10 |
1326291295 | Karl F Woodmansey | Dentist | 1215 Waterside Cir, Dallas, TX 75218 | 2008-10-23 |
1679739841 | All About Care Homehealth Services Inc. | Home Health | 12115 Self Plaza Drive, Suite 100, Dallas, TX 75218 | 2008-08-06 |
1104035187 | Charlotte Ann Hodges | Surgery | 1151 North Buckner Blvd #308, Dallas, TX 75218 | 2007-05-22 |
Find all providers in zip 75218 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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1376885939 | Stretch Rehabilitation | Point of Service | 8330 Lbj Fwy, 255, Dallas, TX 75243-1166 | 2013-03-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.