Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 18181 | PR |
N | 208000000X | Pediatrician | 26196 | NE |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 26196 | NE |
NPI | 1255565289 |
---|---|
Provider Name | Javier Alberto Padial |
First Address | San Antonio, TX 78234-4504 |
Second Address | San Antonio, TX 78234-4504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2009 |
Last Update Date | 11/08/2021 |