Individual
JOSE OVIDIO PENA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(512) 753-3796
Mailing address
415 ENCHANTED OAK DR, DRIFTWOOD, TX 78619-4221
(512) 894-3694
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J5189
TX
Other
Enumeration date
10/31/2005
Last updated
03/26/2008
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