Luis Gabriel Pena
Prosthodontist
4142 Bellaire Blvd
Houston
, Texas 77025-1008
Luis Gabriel Pena
Prosthodontist
4142 Bellaire Blvd
Houston
, Texas 77025-1008
(713) 661-7625
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Luis Gabriel Pena
- 4142 Bellaire Blvd
- Houston, TX
- Zip : 77025-1008
- Fax : (713) 661-7625
- Phone : (713) 661-4234
Second Address
- Luis Gabriel Pena
- 4142 Bellaire Blvd
- Houston, TX
- Zip : 77025-1008
- Fax : (713) 661-7625
- Phone : (713) 661-4234
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 10663 | TX |
National Provider Identifier
| NPI | 1174732440 |
|---|---|
| Provider Name | Luis Gabriel Pena |
| First Address | Houston, TX 77025-1008 |
| Second Address | Houston, TX 77025-1008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 08/07/2007 |
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.