Individual
HECTOR DE PENA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2606 HOSPITAL BLVD, CORPUS CHRISTI, TX 78405-1833
(361) 881-3455
(361) 881-3460
Mailing address
2606 HOSPITAL BLVD STE E, CORPUS CHRISTI, TX 78405-1804
(361) 881-3455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17990
TX
Other
Enumeration date
05/01/2024
Last updated
06/18/2024
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