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Organization
H PENA MD NORTH MAIN MEDICAL AND SURGICAL CLINIC ASSOC
Active
Organization
H PENA MD NORTH MAIN MEDICAL AND SURGICAL CLINIC ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERIBERTO PENA MD (PRESIDENT)
(817) 625-2791
Entity
Organization
Contact information
Practice address
3301 NORTH MAIN STREET, FORT WORTH, TX 76106
(817) 625-2791
(817) 740-1550
Mailing address
3301 NORTH MAIN STREET, FORT WORTH, TX 76106
(817) 625-2791
(817) 740-1550
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C7083
TX
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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