Individual
DR. JOSE CALIXTO DE LA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5722 INTERGRITY DR., BLGD S771 (NBHC MIDSOUTH, MILLINGTON, TN 38054
(901) 874-6143
Mailing address
4566 NOB HILL DR., ARLINGTON, TN 38002-5150
(901) 249-7356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00053436
TN
Other
Enumeration date
01/24/2006
Last updated
07/21/2022
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