Jose Ovidio Pena Jr, MD | |
1301 Wonder World Dr, San Marcos, TX 78666-7533 | |
(512) 753-3796 | |
Not Available |
Full Name | Jose Ovidio Pena Jr |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1301 Wonder World Dr, San Marcos, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104817220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | J5189 (Texas) | Primary |
Entity Name | Longhorn Emergency Medical Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
Mailing Address | Practice Location Address |
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Jose Ovidio Pena Jr, MD 415 Enchanted Oak Dr, Driftwood, TX 78619-4221 Ph: (512) 894-3694 | Jose Ovidio Pena Jr, MD 1301 Wonder World Dr, San Marcos, TX 78666-7533 Ph: (512) 753-3796 |
Daniel Patrick Loisel, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-753-3796 | |
Dr. Robert Donovan Butter, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-353-8979 | |
Dr. Gilbert Saenz Rodriguez Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1320 Wonder World Dr Ste 101, San Marcos, TX 78666 Phone: 512-396-3911 Fax: 512-353-0807 | |
Dr. Myla J. Canales, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-353-8979 | |
John Dewey Whisenant, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-753-3796 | |
Grant David Williams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-753-3796 |