Organization
NODENS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCO PENA CSFA/CST (CERTIFIED SURGICAL FIRST ASSISTANT)
(806) 535-9197
Entity
Organization
Contact information
Practice address
4132 HEIRSHIP CT, FORT WORTH, TX 76244-4966
(806) 535-9197
(817) 337-3032
Mailing address
4132 HEIRSHIP CT, FORT WORTH, TX 76244-4966
(806) 535-9197
(817) 337-3032
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/25/2015
Last updated
05/25/2015
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