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Individual
MR. LUIS FERNANDO PENA
Active
Individual
MR. LUIS FERNANDO PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08283
TX
Other
Enumeration date
03/27/2013
Last updated
11/19/2018
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