Individual
DOUGLAS PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2419 HIGHWAY 121, BEDFORD, TX 76021-5011
(817) 835-8025
Mailing address
2740 LAKESIDE PKWY APT 115, FLOWER MOUND, TX 75022-4424
(972) 834-4901
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2188318
TX
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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