Pena, Nathan Jamal

Pena, Nathan Jamal is an individual health care provider with primary practice located at 1711 D St , Fort Worth TX 76127. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Other Service Providers / Independent Duty Corpsman. Other Service Providers / Independent Duty Corpsman is his primary health care specialty. Pena, Nathan Jamal can be contacted via phone (817) 782-5933.

Contact Information

Primary practice address
1711 D St Fort Worth TX 76127
Phone: (817) 782-5933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1134576390
LBN Legal business name Pena, Nathan Jamal
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2016
Last updated Jan 31st, 2025 - 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.

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