Organization
OMAR J PENA LOPEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR J PENA MD (PRESIDENT)
(956) 307-8819
Entity
Organization
Contact information
Practice address
1403 CARNELIAN DR, WESLACO, TX 78596-4388
(956) 307-8819
Mailing address
1403 CARNELIAN DR, WESLACO, TX 78596-4388
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N1058
TX
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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