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Individual
DEOGRACIAS R PENA
Active
Individual
DEOGRACIAS R PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
J9778
TX
2080P0210X
Pediatric Nephrology Physician
Primary
ME56326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCBSTX GRP PIN
TX
01
—
10010075
AMERIGROUP PIN
TX
01
—
109517
SUPERIOR PIN
TX
01
—
121266102
FIRSTCARE PIN
TX
05
—
133426012
—
TX
01
—
1443501
UHC PIN
TX
01
—
1750369203
GRP NPI NUMBER
—
01
—
5056081
AETNA PIN
TX
01
—
75208965
CIGNA PIN
TX
01
—
87Y112
BCBSTX PIN
TX
Enumeration date
08/11/2006
Last updated
09/06/2014
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