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Individual

DR. ISRAEL PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2901 ACME BRICK PLZ, FORT WORTH, TX 76109-4124
(817) 529-1900
(817) 529-1910
Mailing address
2901 ACME BRICK PLZ, FORT WORTH, TX 76109-4124
(817) 529-1900
(817) 529-1910

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
S9378
TX
208VP0000X
Pain Medicine Physician
Primary
S9378
TX

Other

Enumeration date
11/01/2012
Last updated
11/15/2024
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