Organization
ANTONIO PENA MD P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO PENA M.D. (PRESIDENT/OWNER)
(936) 569-0400
Entity
Organization
Contact information
Practice address
1329 N UNIVERSITY DR, SUITE E-5, NACOGDOCHES, TX 75961-4232
(936) 569-0400
(936) 569-0530
Mailing address
1329 N UNIVERSITY DR, SUITE E-5, NACOGDOCHES, TX 75961-4232
(936) 569-0400
(936) 569-0530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N1057
TX
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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