Elizabeth Tommie Pena, ELIZABETH

NPI #1639692130 in Irving, Texas

Provider Information

NPI Number
1639692130
Entity Type
Individual
Name
Elizabeth Tommie Pena, ELIZABETH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician, Other
Credential
ELIZABETH
Enumeration Date
Jul 17, 2017
Last Updated
Jul 17, 2017

Practice Location

Address
400 E ROYAL LN BLDG 3
City
Irving
State
Texas
ZIP Code
75039-3540
Phone
(855) 832-6727

Specialties & Taxonomy Codes

Specialty
Technician, Other

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