Individual
ENRIQUE B PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1004 W 32ND ST STE 200, AUSTIN, TX 78705-1918
(512) 324-3580
(512) 324-3581
Mailing address
1400 N IH 35, SUITE 300, AUSTIN, TX 78701-1926
(512) 324-8300
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N7650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219476302
—
TX
Enumeration date
08/22/2006
Last updated
10/24/2023
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