Pena, Samuel

Pena, Samuel is an individual health care provider with primary practice located at 4302 S Sugar Rd Ste 213 , Edinburg TX 78539-9140. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pena, Samuel can be contacted via phone (956) 378-6611.

Contact Information

Primary practice address
4302 S Sugar Rd Ste 213 Edinburg TX 78539-9140
Phone: (956) 378-6611
Fax: (956) 378-6070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04603 Texas

Profile Details

NPI number 1396917480
LBN Legal business name Pena, Samuel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2008
Last updated Jul 21st, 2022 - about 4 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 1396917480 NPPES
Texas MEDICAID 3368243-02

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