Jose R Pena III
Family Doctor Family Doctor - Addiction Medicine
1600 Providence Dr
Waco
, Texas 76707-2261
Jose R Pena III
Family Doctor Family Doctor - Addiction Medicine
1600 Providence Dr
Waco
, Texas 76707-2261
(254) 313-4531
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Jose R Pena III
- 1600 Providence Dr
- Waco, TX
- Zip : 76707-2261
- Fax : (254) 313-4531
- Phone : (254) 313-4200
Second Address
- Jose R Pena III
- 1600 Providence Dr
- Waco, TX
- Zip : 76707-2261
- Fax : (254) 313-4531
- Phone : (254) 313-4200
Reviews
FAQs
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Is Jose R Pena III a sole practitioner?
Is Jose R Pena III accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | BP10063987 | TX |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | S3041 | TX |
National Provider Identifier
| NPI | 1407346927 |
|---|---|
| Provider Name | Jose R Pena III |
| First Address | Waco, TX 76707-2261 |
| Second Address | Waco, TX 76707-2261 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2018 |
| Last Update Date | 28/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.