Organization
LA FERIA HEALTH GROUP
Active
Other names
La Feria Childrens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR J PENA-LOPEZ M.D. (M.D.)
(917) 498-4825
Entity
Organization
Contact information
Practice address
1403 CARNELIAN DR, WESLACO, TX 78596-4388
(917) 498-4825
Mailing address
1403 CARNELIAN DR, WESLACO, TX 78596-4388
(917) 498-4825
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N1058
TX
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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