De La Pena, Octavio A

De La Pena, Octavio A is an individual health care provider with primary practice located at 4401 Coit Rd Site 201, Frisco TX 75035-0500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. De La Pena, Octavio A can be contacted via phone (972) 335-7306.

Contact Information

Primary practice address
4401 Coit Rd Site 201 Frisco TX 75035-0500
Phone: (972) 335-7306
Fax: (972) 335-7468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X K3150 Texas

Profile Details

NPI number 1780643692
LBN Legal business name De La Pena, Octavio A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated May 26th, 2010 - about 16 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 1780643692 NPPES
Texas MEDICAID 142704901
Texas Other 8B4310
Texas MEDICAID 102131303

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