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NPI Code Detail

MEDICARE: EUGLIS C PENA ARNP

MEDICARE: EUGLIS C PENA ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner739810TX
2363LF0000XFamily Nurse PractitionerAP116800TX

General Provider Information

NPI Number : 1023216389
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGLIS C PENA ARNP
Provider Business Mailing Address
First Line : 222 W. LAS COLINAS BLVD
Second Line : SUITE 2000
City : IRVING
State : TX
Zip : 75039
Country : US
Telephone Number : 972-957-3000
Fax Number : 972-236-0096
Provider Business Practice Location Address
First Line : 20403 FM 529 RD STE 200
Second Line :
City : CYPRESS
State : TX
Zip : 77433-5379
Country : US
Telephone Number : 281-656-4041
Fax Number : 281-861-0343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2007
Last Update Date : 05/10/2017

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Directions to “ EUGLIS C PENA ARNP” Practice Location

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