Organization
HEALTHY HEADS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRTALA PENA (CLINICIAN)
(956) 585-5423
Entity
Organization
Contact information
Practice address
1512 E INTERSTATE HIGHWAY 2 STE 107A, MISSION, TX 78572-6598
(956) 585-5423
Mailing address
1512 E INTERSTATE HIGHWAY 2 STE 107A, MISSION, TX 78572-6598
(956) 585-5423
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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