Pena, Patricia L.
Pena, Patricia L. is an sole proprietor health care provider with primary practice located at 3204 S Sugar Rd , Edinburg TX 78539-3693. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Pena, Patricia L. can be contacted via phone (956) 380-0798.Contact Information
Primary practice address
3204 S Sugar Rd
Edinburg TX 78539-3693
Phone: (956) 380-0798
Fax: (956) 380-0550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DT03891 | Texas |
Profile Details
| NPI number | 1689681926 |
|---|---|
| LBN Legal business name | Pena, Patricia L. |
| Credentials | RD/LD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jan 13th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689681926 | NPPES |
| Texas | MEDICAID | 004460404 | |
| Texas | MEDICAID | 004460405 | |
| Texas | MEDICAID | 004460403 |
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