MEDICARE: FRANCISCO I PENA MD JD

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
1	207Q00000X	Family Medicine Physician	D0250	TX

General Provider Information

NPI Number	:	1205807641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO I PENA MD JD

Provider Business Mailing Address
First Line	:	801 E NOLANA ST
Second Line	:	STE 15
City	:	MCALLEN
State	:	TX
Zip	:	78504-6104
Country	:	US
Telephone Number	:	956-661-8989
Fax Number	:	956-661-9425

Provider Business Practice Location Address
First Line	:	801 E NOLANA ST
Second Line	:	STE 15
City	:	MCALLEN
State	:	TX
Zip	:	78504-6104
Country	:	US
Telephone Number	:	956-661-8989
Fax Number	:	956-661-9425

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	07/08/2007

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