Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mario Alberto Padilla, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1639844624

Mario Alberto Padilla, AGACNP-BC is a Nurse Practitioner in Dallas, Texas. Qualified in 2021, 5 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

3500 Gaston Ave
Dallas, TX 75246-2088
Phone: (214) 820-3256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1048719 (TX)

Record details

NPI number1639844624
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedAugust 11, 2021
Last updated in NPPESAugust 11, 2021
Certification dateAugust 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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