Provider Demographics
NPI:1093008724
Name:MADRIGAL, SILVIA (NP)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:
Last Name:MADRIGAL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 FRANKFORD RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-6894
Mailing Address - Country:US
Mailing Address - Phone:972-232-8098
Mailing Address - Fax:
Practice Address - Street 1:8000 FRANKFORD RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-6894
Practice Address - Country:US
Practice Address - Phone:972-232-8098
Practice Address - Fax:972-232-8099
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX705848363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily