Individual
CLARA SELENE PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 S MAIN ST, DONNA, TX 78537-3228
(956) 464-2386
(956) 464-2210
Mailing address
216 S MAIN ST, DONNA, TX 78537-3228
(956) 464-2386
(956) 464-2210
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
145132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083928634
—
TX
Enumeration date
08/27/2018
Last updated
08/25/2025
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