H Pena MD North Main Medical and Surgical Clinic Assoc
H Pena MD North Main Medical and Surgical Clinic Assoc provides General Practice Physician services in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2007.
- Licensed in
- TX
- In the registry since
- 2007
Practice location Address checks out
3301 N Main StFort Worth, TX 76106
Phone: (817) 625-2791
Fax: (817) 740-1550
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Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence C7083 (TX) |
|---|
Record details
| NPI number | 1477607240 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Heriberto Pena — President · (817) 625-2791 |
| NPI enumerated | January 22, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3301 North Main Street, Fort Worth, TX 76106 |
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