Omar Jose Pena Lopez in Elsa - Pediatrics
Omar Jose Pena Lopez - NPI 1619149762
Omar Jose Pena Lopez is a Pediatrics in Elsa, Texas. Omar Jose Pena Lopez practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Omar Jose Pena Lopez is 1619149762. The last update date is 2014-02-10.
Omar Jose Pena Lopez's current location address is 410 South Broadway, Elsa, Texas. You can contact this provider via phone number 9562629805 and fax number 9562629233. The mailing address for Omar Jose Pena Lopez is 410 South Broadway, Elsa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Omar Jose Pena Lopez |
|---|---|
| Address | 410 South Broadway, Elsa, Texas |
| Phone Number | 9562629805 |
| Fax Number | 9562629233 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619149762 |
|---|---|
| Provider Enumeration Date | 2008-03-28 |
| Last Updated Date | 2014-02-10 |
Provider Mailing Address Detail
| Address | 410 South Broadway |
|---|---|
| City | Elsa |
| State | Texas (TX) |
| Post Code | 785430000 |
| Phone Number | 9562629805 |
| Fax Number | 9562629233 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | N1058 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201687501 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Omar Jose Pena Lopez by the Centers for Medicare & Medicaid Services (CMS)?
The Omar Jose Pena Lopez has been assigned the NPI (National Provider Identifier) 1619149762. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Omar Jose Pena Lopez is physically located?
The Omar Jose Pena Lopez is physically situated at the following address: 410 South Broadway, Elsa, TX, 785430000.
What is Omar Jose Pena Lopez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Omar Jose Pena Lopez is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
When was the Omar Jose Pena Lopez's 1619149762 issued?
The Omar Jose Pena Lopez's 1619149762 was issued on 2008-03-28.
As of what date was the information pertaining to Omar Jose Pena Lopez, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Omar Jose Pena Lopez, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-02-10.
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