Individual
ISRAEL PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CES
Contact information
Practice address
8555 FM 32, FISCHER, TX 78623-2424
(830) 885-1751
Mailing address
8555 FM 32, FISCHER, TX 78623-2424
(830) 885-1751
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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