Individual
MR. HERBERT PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
5511 PECAN SPGS APT 7105, SAN ANTONIO, TX 78249-5306
(956) 319-4348
Mailing address
5511 PECAN SPGS APT 7105, SAN ANTONIO, TX 78249-5306
(956) 319-4348
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2097442
TX
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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