Individual
DR. VENESSA PENA-ROBICHAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211B N FM 1626, SUITE 1A, BUDA, TX 78610
(737) 717-3244
(512) 318-2537
Mailing address
211B N FM 1626, SUITE 1A, BUDA, TX 78610
(737) 717-3244
(512) 318-2537
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P9439
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335728701
—
TX
01
—
351454YZ4U
MEDICARE PTAN
TX
Enumeration date
06/09/2010
Last updated
10/24/2017
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