Organization
CLINICA HISPANA EBEN-EZER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR PENA HERNANDEZ (OWNER)
(469) 864-9165
Entity
Organization
Contact information
Practice address
4043 TRINITY MILLS RD STE 103, DALLAS, TX 75287-6757
(972) 707-9999
Mailing address
4043 TRINITY MILLS RD STE 103, DALLAS, TX 75287-6757
(972) 707-9999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
09/10/2025
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