Individual
MR. CLEOFAS PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1713 TREASURE HILLS BLVD STE 1B, HARLINGEN, TX 78550-8913
(956) 425-9240
(956) 412-8575
Mailing address
1713 TREASURE HILLS BLVD STE 1B, HARLINGEN, TX 78550-8913
(956) 425-9240
(956) 412-8575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA05330
STATE PERMIT
TX
01
—
V0154186
DPS
TX
Enumeration date
07/09/2009
Last updated
03/07/2023
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