Provider Demographics
NPI:1992816565
Name:PADILLA, BELINDA R (MD)
Entity type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:R
Last Name:PADILLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10260 N CENTRAL EXPY STE 280
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3466
Mailing Address - Country:US
Mailing Address - Phone:469-729-7817
Mailing Address - Fax:469-405-8497
Practice Address - Street 1:10260 N CENTRAL EXPY STE 280
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3466
Practice Address - Country:US
Practice Address - Phone:469-729-7817
Practice Address - Fax:469-405-8497
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF5681207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080152436OtherMEDICARE RAILROAD
TX4230799Medicaid
TX00T13KOtherMEDICARE GROUP #
TX4398014OtherAETNA
TX86690XOtherBLUECROSS BLUE SHIELD