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JOSE F. PENA MD & ASSOCIATES PA NPI 1770510661


NPI Information

NPI: 1770510661
Provider Name: JOSE F. PENA, MD & ASSOCIATES PA

Doing Business As: ELSA MEDICAL CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D0669013

Address:
101 SOUTH BROADWAY
ELSA, TX
ZIP 78543
Phone: (956) 262-1304
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JOSE F. PENA, MD & ASSOCIATES PA is a multi-specialty clinic center in Elsa, TX. JOSE F. PENA, MD & ASSOCIATES PA NPI is 1770510661. The provider is registered as an organization entity type.
The provider Is Doing Business As Elsa Medical Clinic.

The provider's business location address is:

101 SOUTH BROADWAY
ELSA, TX
ZIP 78543
Phone: (956) 262-1304
Fax: (956) 262-3929

The provider's authorized official is Jose Fernando Pena .
The authorized official title is Medical Director and has the following contact phone number (956) 262-1304.

The CLIA number assigned to this NPI record is 45D0669013 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 12/14/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyJ9264TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G13752MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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