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Individual
DR. PEDRO J PENA
Active
Individual
DR. PEDRO J PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4697TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E23Q
BLUECROSS BLUESHIELD
TX
01
—
33339
OPTICARE
NC
01
—
930188
BLOCK VISION OF TEXAS
MD
Enumeration date
02/13/2007
Last updated
07/08/2007
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