Pena, Cleofas
Pena, Cleofas is an individual health care provider with primary practice located at 1713 Treasure Hills Blvd Ste 1B , Harlingen TX 78550-8913. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pena, Cleofas can be contacted via phone (956) 425-9240.Contact Information
Primary practice address
1713 Treasure Hills Blvd Ste 1B
Harlingen TX 78550-8913
Phone: (956) 425-9240
Fax: (956) 412-8575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA05330 | Texas |
Profile Details
| NPI number | 1285863381 |
|---|---|
| LBN Legal business name | Pena, Cleofas |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2009 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285863381 | NPPES |
| Texas | Other | PA05330 | STATE PERMIT |
| Texas | Other | V0154186 | STATE PERMIT |
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