Individual
DR. RENE MARIO PENA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 CENTRAL PARK DR, ARLINGTON, TX 76014-2069
(817) 261-9191
(817) 784-6880
Mailing address
409 CENTRAL PARK DR, ARLINGTON, TX 76014-2069
(817) 261-9191
(817) 784-6880
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
N2728
TX
207YX0602X
Otolaryngic Allergy Physician
N2728
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
N2728
TX
Other
Enumeration date
02/11/2008
Last updated
10/01/2013
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