Individual
DR. DANIEL G. PENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
94 BRIGGS ST STE 600, SAN ANTONIO, TX 78224-1272
(210) 872-3668
(210) 922-7818
Mailing address
94 BRIGGS ST STE 600, SAN ANTONIO, TX 78224-1272
(210) 872-3668
(210) 428-6317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L5510
TX
208000000X
Pediatrics Physician
L5510
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163714205
—
TX
Enumeration date
12/22/2005
Last updated
06/14/2022
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