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Individual

MR. PEDRO PENA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
900 N JONES ST, BAYTOWN, TX 77520-4621
(713) 791-1414

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101Y00000X
COUNSELOR
TX
Enumeration date
06/26/2007
Last updated
07/08/2007
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