Individual
MRS. PATRICIA L. PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
3204 S SUGAR RD, EDINBURG, TX 78539-3693
(956) 380-0798
(956) 380-0550
Mailing address
3204 S SUGAR RD, EDINBURG, TX 78539-3693
(956) 380-0798
(956) 380-0550
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT03891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004460403
—
TX
05
—
004460404
—
TX
05
—
004460405
—
TX
Enumeration date
08/01/2006
Last updated
01/13/2021
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