Mario Padilla is one of 637 nurse practitioners practicing in Tyler, Texas .
Mario Padilla practices with Etmc Physician Group, Inc.
Registry record (NPPES)
NPI
1639844624
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Address on file
3500 Gaston Ave
Enumerated
Aug 11, 2021
Record last updated
Aug 11, 2021
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1000 S Beckham AveTyler , TX 75701
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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