Individual
DR. RICHARD CHARLES PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1607 BROOK AVE, WICHITA FALLS, TX 76301-5619
(940) 767-5581
(940) 767-0046
Mailing address
1607 BROOK AVE, WICHITA FALLS, TX 76301-5619
(940) 767-5581
(940) 767-0046
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
F1895
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1828790-01
—
TX
01
—
DN4511
RAILROAD MEDICARE
GA
Enumeration date
04/14/2006
Last updated
10/15/2008
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