Individual
TRACY DENISE PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2510 E MAIN ST, SUITE 102, ALICE, TX 78332-4187
(361) 664-4445
(361) 664-4449
Mailing address
2510 E MAIN ST, SUITE 102, ALICE, TX 78332-4187
(361) 664-4445
(361) 664-4449
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
694411
TX
Other
Enumeration date
07/12/2012
Last updated
10/09/2013
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