Pena, Jesus

Pena, Jesus is an individual health care provider with primary practice located at 1515 Pappas St , Laredo TX 78041-1705. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Pena, Jesus can be contacted via phone (956) 795-8100.

Contact Information

Primary practice address
1515 Pappas St Laredo TX 78041-1705
Phone: (956) 795-8100
Fax: (956) 795-8135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 508488 Texas

Profile Details

NPI number 1780846964
LBN Legal business name Pena, Jesus
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Jun 27th, 2008 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780846964 NPPES
Texas Other 508488 TEXAS BOARD OF NURSE EXAMINERS

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