Individual
ALBERT PENA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 W MULBERRY ST, ANGLETON, TX 77515-4239
(979) 849-4875
Mailing address
206 PURSLEY DR, ANGLETON, TX 77515-4014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2097549
TX
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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