Individual
MR. JAIME PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7121 SPID, SUITE 302, CORPUS CHRISTI, TX 78412
(361) 851-5000
(361) 851-0590
Mailing address
7121 SPID, SUITE 302, CORPUS CHRISTI, TX 78412
(361) 851-5000
(361) 851-0590
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G5471
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115238101
—
TX
Enumeration date
02/10/2006
Last updated
08/12/2013
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