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NPI Code Detail

MEDICARE: DEANNA I. PENA-GARCIA OD

MEDICARE: DEANNA I. PENA-GARCIA OD
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
1152W00000XOptometrist05485TGTX

General Provider Information

NPI Number : 1043326622
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA I. PENA-GARCIA OD
Provider Business Mailing Address
First Line : 7155 OLD KATY RD
Second Line : SUITE N100
City : HOUSTON
State : TX
Zip : 77024-2134
Country : US
Telephone Number : 713-668-6828
Fax Number : 832-280-3636
Provider Business Practice Location Address
First Line : 2855 GRAMERCY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77025-1756
Country : US
Telephone Number : 713-668-1828
Fax Number : 713-395-1666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 09/02/2014

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