1972638617 NPI number — SELINA R PENA

Table of content: METZLI VASQUEZ (NPI 1093502304)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972638617 NPI number — SELINA R PENA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SELINA R PENA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972638617
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4219 W EXPRESSWAY 83
Provider Second Line Business Mailing Address:
STE D
Provider Business Mailing Address City Name:
MISSION
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78572-8996
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-631-7761
Provider Business Mailing Address Fax Number:
956-631-7961

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4219 W EXPRESSWAY 83
Provider Second Line Business Practice Location Address:
STE D
Provider Business Practice Location Address City Name:
MISSION
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78572-8996
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-631-7761
Provider Business Practice Location Address Fax Number:
956-631-7961
Provider Enumeration Date:
02/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PENA
Authorized Official First Name:
SELINA
Authorized Official Middle Name:
RENEE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
956-631-7761

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  0093296 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 188746502 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 188746501 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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