Individual
MR. JESUS PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 795-8100
(956) 795-8135
Mailing address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 795-8100
(956) 795-8135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
508488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
508488
TEXAS BOARD OF NURSE EXAMINERS
TX
Enumeration date
06/27/2008
Last updated
06/27/2008
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