Omar J Pena Lopez MD PA

NPI #1871859744 in Elsa, Texas

Provider Information

NPI Number: 1871859744
Entity Type: Organization
Organization Name: Omar J Pena Lopez MD PA
Primary Specialty: Pediatrics
Enumeration Date: Apr 5, 2012
Last Updated: Apr 5, 2012

Practice Location

Address: 200 W. EDINBURG HWY 107
City: Elsa
State: Texas
ZIP Code: 78543
Phone: (956) 262-9805

Authorized Official

Name: DR. OMAR J PENA LOPEZ, M.D.
Title: OWNER
Phone: (956) 971-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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