Provider Demographics
NPI:1629262852
Name:PIZARRO PADILLA, ANA ROSA (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:ROSA
Last Name:PIZARRO PADILLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 CHEYENNE DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-2201
Mailing Address - Country:US
Mailing Address - Phone:972-394-7141
Mailing Address - Fax:
Practice Address - Street 1:1776 WOODSTEAD CT
Practice Address - Street 2:STE 208
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1480
Practice Address - Country:US
Practice Address - Phone:817-577-9999
Practice Address - Fax:817-849-8388
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2020-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3790208D00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice