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Individual
DR. RAMIRO A PENA
Active
Individual
DR. RAMIRO A PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
74-1752692
TX
207Q00000X
Family Medicine Physician
Primary
942244
TX
207Q00000X
Family Medicine Physician
D1001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113338102
—
TX
01
—
50EK
BCBS OF TEXAS
TX
01
—
D1001
MEDICAL LICENSE
TX
Enumeration date
01/10/2007
Last updated
08/24/2022
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