Pena, Richard Charles
Pena, Richard Charles is an sole proprietor health care provider with primary practice located at 1607 Brook Ave , Wichita Falls TX 76301-5619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Pena, Richard Charles can be contacted via phone (940) 767-5581.Contact Information
Primary practice address
1607 Brook Ave
Wichita Falls TX 76301-5619
Phone: (940) 767-5581
Fax: (940) 767-0046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | F1895 | Texas |
Profile Details
| NPI number | 1275597304 |
|---|---|
| LBN Legal business name | Pena, Richard Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Oct 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275597304 | NPPES |
| Texas | MEDICAID | 1828790-01 | |
| Texas | Other | DN4511 |
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