Antonio Pena Md P.a. | |
1329 N University Dr Suite E-5 Nacogdoches TX 75961-4232 | |
(936) 569-0400 | |
(936) 569-0530 |
Full Name | Antonio Pena Md P.a. |
---|---|
Speciality | Internal Medicine |
Location | 1329 N University Dr, Nacogdoches, Texas |
Authorized Official Name and Position | Antonio Pena (PRESIDENT/OWNER) |
Authorized Official Contact | 9365690400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Antonio Pena Md P.a. 1329 N University Dr Suite E-5 Nacogdoches TX 75961-4232 Ph: (936) 569-0400 | Antonio Pena Md P.a. 1329 N University Dr Suite E-5 Nacogdoches TX 75961-4232 Ph: (936) 569-0400 |
NPI Number | 1407091580 |
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Provider Enumeration Date | 12/03/2008 |
Last Update Date | 12/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407091580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | N1057 (Texas) | Primary |
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