PADRON WELLNESS CLINIC PLLC


Address: 1000 Emerald Isle Dr Ste 107, Dallas, TX 75218-3949
Phone: 2143214917

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service H2662 TX Managed Care Organizations

Other Provider/Organization Names

Other Name Type Code
Padron Wellness Clinic Doing Business As Name - Organization

Office Location

Street Address 1000 EMERALD ISLE DR STE 107
City DALLAS
State TX
Zip Code 75218-3949

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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

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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City DALLAS
Zip Code 75218

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Dataset Information

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.

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