Individual
DR. CESAR B PENA-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 W CENTERVILLE RD STE 200, GARLAND, TX 75041-5410
(469) 862-3763
(469) 862-3768
Mailing address
610 W CENTERVILLE RD STE 200, GARLAND, TX 75041-5410
(469) 862-3763
(469) 862-3768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L7105
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073576435
NATIONAL PROVIDER IDENTIFICATION NUMBER
—
01
—
11370943
CHQH.ORG
—
01
—
202941
MEDICARE PROVIDER NUMBER
TX
Enumeration date
04/07/2006
Last updated
11/12/2019
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