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Individual
ERNESTO ANTONIO PENA-TEJEDA
Active
Individual
ERNESTO ANTONIO PENA-TEJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
338914
LA
363A00000X
Physician Assistant
5999
TN
363AS0400X
Surgical Physician Assistant
Primary
5999
TN
Other
Enumeration date
10/06/2023
Last updated
03/13/2025
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