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Organization
ROBERTO M. PENA, MD PA
Active
Organization
ROBERTO M. PENA, MD PA
Active
Other names
Austin Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO MATTA PENA MD (CEO)
(512) 477-4693
Entity
Organization
Contact information
Practice address
2911 MEDICAL ARTS ST, BUILDING #14, AUSTIN, TX 78705-3376
(512) 477-4693
(512) 477-2160
Mailing address
2911 MEDICAL ARTS ST, BUILDING #14, AUSTIN, TX 78705-3376
(512) 477-4693
(512) 477-2160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G3051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366451759
NPI
TX
Enumeration date
02/23/2010
Last updated
02/24/2010
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