Individual
JOSE PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
103 E 3RD ST, UNIT A, ARLINGTON, TX 76010-7388
(214) 395-5507
Mailing address
103 E 3RD ST, UNIT A, ARLINGTON, TX 76010-7388
(214) 395-5507
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6283
TX
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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