Individual
DR. EDWARD PENA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1999 MEDICAL PKWY STE A, SAN MARCOS, TX 78666-7579
(512) 392-1411
(512) 392-1422
Mailing address
4919 MEMORIAL HWY STE 150, TAMPA, FL 33634-7516
(813) 333-1512
(813) 333-1561
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L7107
TX
207NS0135X
Procedural Dermatology Physician
L7107
TX
Other
Enumeration date
12/13/2006
Last updated
03/31/2022
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