DR. Jose Calixto De La Pena, MD
NPI #1154391977 in Millington, Tennessee
Provider Information
- NPI Number
- 1154391977
- Entity Type
- Individual
- Name
- DR. Jose Calixto De La Pena, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jan 24, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 5722 INTERGRITY DR.
- Address 2
- BLGD S771 (NBHC MIDSOUTH
- City
- Millington
- State
- Tennessee
- ZIP Code
- 38054
- Phone
- (901) 874-6143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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